Dr Roland Oswald Willock, MD | |
9120 W Capitol Dr, Milwaukee, WI 53222-1622 | |
(414) 251-3500 | |
(414) 251-3504 |
Full Name | Dr Roland Oswald Willock |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 9120 W Capitol Dr, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053372920 | NPI | - | NPPES |
1053372920 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23094 (Alabama) | Secondary |
207Q00000X | Family Medicine | 21591-875 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Progressive Medical Group | 8628479649 | 2 |
Entity Name | Progressive Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609464049 PECOS PAC ID: 8628479649 Enrollment ID: O20210629001119 |
Mailing Address | Practice Location Address |
---|---|
Dr Roland Oswald Willock, MD 9120 W Capitol Dr, Milwaukee, WI 53222-1622 Ph: (414) 251-3500 | Dr Roland Oswald Willock, MD 9120 W Capitol Dr, Milwaukee, WI 53222-1622 Ph: (414) 251-3500 |
Dr. Mary Grace Hernandez Lasquety, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2311 N Prospect Ave, Milwaukee, WI 53211 Phone: 414-319-3000 Fax: 414-319-3033 | |
Dr. Rodrigo Itable, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2745 W Layton Ave, Suite 201, Milwaukee, WI 53221 Phone: 414-281-0050 Fax: 414-281-0733 | |
Steven Bondow, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226 Phone: 414-955-5990 Fax: 414-955-6282 | |
Dr. Sabina Diehr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226 Phone: 414-955-5990 Fax: 414-955-6282 | |
Luz Stella Moreno, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 637 W Mitchell St, Milwaukee, WI 53204 Phone: 414-383-8989 | |
Quentin Mattern, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2320 N Lake Dr, Room 3603, Milwaukee, WI 53211 Phone: 414-270-4932 | |
Jennifer Marie Markowski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3003 W Good Hope Rd, Milwaukee, WI 53209 Phone: 414-352-3100 |