Daniel Perrault, MD | |
2400 W Villard Ave, Milwaukee, WI 53209-4901 | |
(414) 527-8181 | |
Not Available |
Full Name | Daniel Perrault |
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Gender | Male |
Speciality | Family Medicine |
Location | 2400 W Villard 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 |
---|---|---|---|
1790777423 | NPI | - | NPPES |
32608800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 39131-020 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 39131 (Wisconsin) | Primary |
Entity Name | Thedacare Medical Center - Shawano, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
Entity Name | Thedacare Medical Center - Berlin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760413777 PECOS PAC ID: 0446151666 Enrollment ID: O20040120000214 |
Entity Name | Thedacare Medical Center - New London, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538127220 PECOS PAC ID: 5698664480 Enrollment ID: O20040311000254 |
Entity Name | Thedacare Medical Center - Waupaca, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780782680 PECOS PAC ID: 3072504216 Enrollment ID: O20040524000645 |
Mailing Address | Practice Location Address |
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Daniel Perrault, MD 2400 W Villard Ave, Milwaukee, WI 53209-4901 Ph: (414) 527-8181 | Daniel Perrault, MD 2400 W Villard Ave, Milwaukee, WI 53209-4901 Ph: (414) 527-8181 |
Dr. Mary Grace Hernandez Lasquety, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2311 N Prospect Ave, Milwaukee, WI 53211 Phone: 414-319-3000 Fax: 414-319-3033 | |
Dr. Rodrigo Itable, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2745 W Layton Ave, Suite 201, Milwaukee, WI 53221 Phone: 414-281-0050 Fax: 414-281-0733 | |
Steven Bondow, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226 Phone: 414-955-5990 Fax: 414-955-6282 | |
Dr. Sabina Diehr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226 Phone: 414-955-5990 Fax: 414-955-6282 | |
Luz Stella Moreno, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 637 W Mitchell St, Milwaukee, WI 53204 Phone: 414-383-8989 | |
Quentin Mattern, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2320 N Lake Dr, Room 3603, Milwaukee, WI 53211 Phone: 414-270-4932 | |
Jennifer Marie Markowski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3003 W Good Hope Rd, Milwaukee, WI 53209 Phone: 414-352-3100 |