Dr Bernard J Staller, MD | |
2801 W Kinnickinnic River Pkwy, Suite 840, Milwaukee, WI 53215-3669 | |
(414) 649-3530 | |
(414) 649-3551 |
Full Name | Dr Bernard J Staller |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 2801 W Kinnickinnic River Pkwy, 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 |
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1700886686 | NPI | - | NPPES |
30239700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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207RC0000X | Internal Medicine - Cardiovascular Disease | 18507 (Wisconsin) | Primary |
207R00000X | Internal Medicine | 18507-020 (Wisconsin) | Secondary |
Entity Name | West Allis Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407801640 PECOS PAC ID: 5395656003 Enrollment ID: O20040303000829 |
Mailing Address | Practice Location Address |
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Dr Bernard J Staller, MD Po Box 2040, Milwaukee, WI 53201-2040 Ph: (414) 649-3530 | Dr Bernard J Staller, MD 2801 W Kinnickinnic River Pkwy, Suite 840, Milwaukee, WI 53215-3669 Ph: (414) 649-3530 |
Julia Bonner, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3351 North Downer Avenue, Milwaukee, WI 53211 Phone: 414-229-5684 | |
Dr. Zachary Smith, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-6830 Fax: 414-955-6214 | |
Dr. Christopher Patrick Boyd, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6000 Fax: 414-805-6280 | |
Umair Bajwa, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-0812 Fax: 414-805-0855 | |
Rasika Surajyam Chepuri, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-7040 Fax: 414-955-6211 | |
Soryal A Soryal, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233 Phone: 414-219-7300 | |
Aboud Affi, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1218 W Kilbourn Ave, Suite 404, Milwaukee, WI 53233 Phone: 414-291-3100 |