Dr Mark D Simms, MD | |
13800 W North Ave, Child Development Center Of Chw, Brookfield, WI 53005-4977 | |
(262) 432-6600 | |
(262) 432-6604 |
Full Name | Dr Mark D Simms |
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Gender | Male |
Speciality | Pediatrics - Neurodevelopmental Disabilities |
Location | 13800 W North Ave, Brookfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154373918 | NPI | - | NPPES |
002000135Z | Other | HUMANA | |
1154373918 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0008X | Pediatrics - Neurodevelopmental Disabilities | 35801 (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 |
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Dr Mark D Simms, MD 13800 W North Ave, Child Development Center Of Chw, Brookfield, WI 53005-4977 Ph: (262) 432-6600 | Dr Mark D Simms, MD 13800 W North Ave, Child Development Center Of Chw, Brookfield, WI 53005-4977 Ph: (262) 432-6600 |
Dr. Jennifer M Chevalier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13950 W Capitol Dr Ste 200, Brookfield, WI 53005 Phone: 262-781-3065 Fax: 262-781-3835 | |
Sadoun I Omari, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12635 W. Bluemound Road, Brookfield, WI 53005 Phone: 414-258-0606 Fax: 414-258-1953 | |
Megan E Hambrook, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1305 N Barker Rd, Suite 1, Brookfield, WI 53045 Phone: 262-784-3200 | |
Andrea L. Munoz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13850 W Capitol Dr, Brookfield, WI 53005 Phone: 262-790-1118 Fax: 262-790-2070 | |
Dana Paletta Greulich, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13950 W Capitol Dr, Suite 200, Brookfield, WI 53005 Phone: 262-781-3065 Fax: 262-781-3835 | |
Deborah L Kim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13850 W Capitol Drive, Brookfield, WI 53005 Phone: 262-790-1118 Fax: 262-790-2070 |