Dr Roger A Pellmann, MD is a
Radiology - Diagnostic Radiology physician based in Germantown, Wisconsin. Dr Roger A Pellmann is licensed to practice in Wisconsin (license number 25006020) and his current practice location is W178n9912 Rivercrest Dr, Suite 102, Germantown, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 255-4500.
NPI number for Dr Roger A Pellmann is 1659390557 and his current mailing address is 6400 Industrial Loop, Greendale, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659390557.
Physician's Profile
| Full Name | Dr Roger A Pellmann |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | W178n9912 Rivercrest Dr, Germantown, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659390557
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 03/17/2009
Medical Identifiers
Medical identifiers for Dr Roger A Pellmann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659390557 | NPI | - | NPPES |
| 30494100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 25006020 (Wisconsin) | Primary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 25006020 (Wisconsin) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Roger A Pellmann is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Roger A Pellmann, MD
6400 Industrial Loop,
Greendale, WI 53129-2452
Ph: (414) 423-4100 | Dr Roger A Pellmann, MD
W178n9912 Rivercrest Dr, Suite 102,
Germantown, WI 53022-4645
Ph: (262) 255-4500 |
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