Dr Allan Richard Pasch, MD | |
5900 S Lake Dr, Cudahy, WI 53110-3171 | |
(414) 489-4190 | |
(414) 332-1005 |
Full Name | Dr Allan Richard Pasch |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 5900 S Lake Dr, Cudahy, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073513974 | NPI | - | NPPES |
32705400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 27484 (Wisconsin) | Secondary |
208600000X | Surgery | 27484 (Wisconsin) | Primary |
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 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Dr Allan Richard Pasch, MD 5900 S Lake Dr, Cudahy, WI 53110-3171 Ph: (414) 489-4190 | Dr Allan Richard Pasch, MD 5900 S Lake Dr, Cudahy, WI 53110-3171 Ph: (414) 489-4190 |
Gregory M. Rosner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr., Lakeshore Medical Clinic, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-489-4015 | |
Nicholas N Armstrong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5900 S. Lake Drive, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-489-4015 |