Dr Roger C Mixter, MD | |
5201 N Port Washington Rd, Milwaukee, WI 53217-4902 | |
(414) 963-0500 | |
(414) 963-0359 |
Full Name | Dr Roger C Mixter |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 5201 N Port Washington Rd, 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 |
---|---|---|---|
1154375996 | NPI | - | NPPES |
30618600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 26326 (Wisconsin) | Primary |
Entity Name | Clinic Of Cosmetic Surgery S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932395209 PECOS PAC ID: 0941261150 Enrollment ID: O20041021000283 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger C Mixter, MD 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 Ph: (414) 963-0500 | Dr Roger C Mixter, MD 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 Ph: (414) 963-0500 |
Dr. Mark Walter Bosbous, Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Avenue, Plastic Surgery, Milwaukee, WI 53226 Phone: 414-805-3666 | |
Dr. Kuylhee Kim, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Dept Of Plastic Surgery, Milwaukee, WI 53226 Phone: 414-805-5440 Fax: 414-259-0901 | |
Dr. Mark Francis Blake, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6002 N Port Washington Rd, Milwaukee, WI 53217 Phone: 414-963-0676 Fax: 414-755-0743 | |
Dr. Kate Buretta Krucoff, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1155 N Mayfair Rd, Milwaukee, WI 53226 Phone: 414-955-5990 Fax: 414-955-6282 | |
Lawrence A. Sterkin, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2801 W Kinnickinnic River Pkwy Ste 540, Milwaukee, WI 53215 Phone: 414-649-5038 | |
Chase Tobin, Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8700 W Watertown Plank Rd, Milwaukee, WI 53226 Phone: 414-805-5465 |