Dennis Worthington, MD | |
201 N Mayfair Road, Wauwatosa, WI 53226-4216 | |
(414) 259-7480 | |
(414) 259-7481 |
Full Name | Dennis Worthington |
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Gender | Male |
Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
Location | 201 N Mayfair Road, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245224864 | NPI | - | NPPES |
30340800 | Medicaid | WI | |
1245224864 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 23370 (Wisconsin) | Primary |
207V00000X | Obstetrics & Gynecology | 23370 (Wisconsin) | Secondary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
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Dennis Worthington, MD 201 N Mayfair Road, Wauwatosa, WI 53226-4216 Ph: (414) 259-7480 | Dennis Worthington, MD 201 N Mayfair Road, Wauwatosa, WI 53226-4216 Ph: (414) 259-7480 |
Margaret H Carr, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 201 N Mayfair Road, Wauwatosa, WI 53226 Phone: 414-259-7480 Fax: 414-259-7481 | |
Dr. Richard M. Clifford, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2350 N Met To Wee Ln, Wauwatosa, WI 53226 Phone: 414-476-6304 Fax: 414-476-1496 | |
Ellen C Hayes, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2500 N Mayfair Rd Ste 420, Wauwatosa, WI 53226 Phone: 262-518-7448 | |
Curtis L Cornella-carlson, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Danish S Siddiqui, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8320 W Bluemound Rd, Wauwatosa, WI 53213 Phone: 414-302-3800 | |
Karen Gotwalt, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 201 N Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 Phone: 414-771-8228 Fax: 414-256-2483 |