Bridget Kenny Ellsworth, | |
9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | |
(414) 337-7300 | |
(414) 337-7337 |
Full Name | Bridget Kenny Ellsworth |
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Gender | Female |
Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
Location | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063944312 | NPI | - | NPPES |
1063944312 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | 82336 (Wisconsin) | Primary |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
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Bridget Kenny Ellsworth, 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 Ph: (414) 337-7300 | Bridget Kenny Ellsworth, 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 Ph: (414) 337-7300 |
Brent Witten, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2801 W Kinnickinnic River Pkwy Ste 370, Milwaukee, WI 53215 Phone: 414-649-7900 | |
Robert A. Diulio, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2801 W Kinnickinnic River Pkwy, Suite 575, Milwaukee, WI 53215 Phone: 414-643-8800 Fax: 414-643-6600 | |
Bruce T Faure, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3003 W Good Hope Rd, Milwaukee, WI 53209 Phone: 414-352-3100 Fax: 414-247-4597 | |
Dr. David James Siverhus, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N Mayfair Rd, Suite 670, Milwaukee, WI 53226 Phone: 414-453-7418 Fax: 414-453-7420 | |
Dr. Steven T Grindel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Orthopaedic Surgery, Milwaukee, WI 53226 Phone: 414-805-7437 Fax: 414-805-7499 | |
Dr. Perry T Shuman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-7410 Fax: 414-805-7499 |