Brian W Lee, MD | |
N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 | |
(262) 696-0808 | |
(262) 696-0965 |
Full Name | Brian W Lee |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 11 Years |
Location | N16w24131 Riverwood Dr, Waukesha, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083052690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | LP02938 (Rhode Island) | Secondary |
207N00000X | Dermatology | 67764 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Waukesha Memorial Hospital | Waukesha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prohealth Medical Group Inc | 3476465188 | 416 |
Entity Name | Prohealth Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
Mailing Address | Practice Location Address |
---|---|
Brian W Lee, MD 185 S Orange Ave, Medical Science Building H-576, Newark, NJ 07103-2757 Ph: (973) 972-6255 | Brian W Lee, MD N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 Ph: (262) 696-0808 |
Dr. Peter Mark Knabel, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: W231n1440 Corporate Ct, Waukesha, WI 53186 Phone: 262-896-6000 | |
Bradley Theodore John Straka, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2607 N Grandview Blvd, Ste 125, Waukesha, WI 53188 Phone: 414-455-0919 Fax: 414-455-0905 | |
Dr. Marie Dauenhauer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: W231n1440 Corporate Ct, Waukesha, WI 53186 Phone: 262-369-6902 Fax: 262-369-6922 | |
Dr. J Christopher Braker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2717 N Grandview Blvd, Waukesha, WI 53188 Phone: 262-549-6649 Fax: 262-784-7936 | |
Dr. Christopher Thomas Burnett, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: N16w24131 Riverwood Dr, Pewaukee Clinic, Waukesha, WI 53188 Phone: 262-696-0808 |