Dr Kelly Henrickson, MD | |
9000 W Wisconsin Ave, Pediatric Infectious Disease, Milwaukee, WI 53226-4874 | |
(414) 337-7070 | |
(414) 337-7093 |
Full Name | Dr Kelly Henrickson |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Infectious Diseases |
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 |
---|---|---|---|
1033161708 | NPI | - | NPPES |
002000198G | Other | HUMANA | |
1033161708 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 31214 (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 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelly Henrickson, MD 9000 W Wisconsin Ave, Pediatric Infectious Disease, Milwaukee, WI 53226-4874 Ph: (414) 337-7070 | Dr Kelly Henrickson, MD 9000 W Wisconsin Ave, Pediatric Infectious Disease, Milwaukee, WI 53226-4874 Ph: (414) 337-7070 |
Sarah Marie Rumler, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-4170 Fax: 414-955-6543 | |
Alison Coren, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-266-6750 Fax: 414-266-6749 | |
Brandon Palmer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-337-7050 Fax: 414-337-7020 | |
Aidan James Reid, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-266-6800 Fax: 414-337-7068 | |
Dr. Swati Kumar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9000 W Wisconsin Ave, Pediatric Infectious Diseases, Milwaukee, WI 53226 Phone: 414-337-7070 Fax: 414-337-7093 | |
Ms. Michelle Lynn Mitchell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-337-7070 Fax: 414-337-7093 | |
Noemi Prieto, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8532 W Capitol Dr, Milwaukee, WI 53222 Phone: 414-463-2607 |