Dr Russell Blankenburg, MD | |
17000 W North Ave, Suite 200e, Brookfield, WI 53005-4423 | |
(262) 782-4270 | |
(262) 784-9319 |
Full Name | Dr Russell Blankenburg |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 31 Years |
Location | 17000 W North Ave, Brookfield, 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 |
---|---|---|---|
1104893577 | NPI | - | NPPES |
32210000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35536 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
Waukesha Memorial Hospital | Waukesha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wheaton Franciscan Medical Group Inc | 8628980943 | 565 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
---|---|
Dr Russell Blankenburg, MD 17000 W North Ave, Brookfield, WI 53005-4423 Ph: (262) 782-4270 | Dr Russell Blankenburg, MD 17000 W North Ave, Suite 200e, Brookfield, WI 53005-4423 Ph: (262) 782-4270 |
Hind Mohamed Elhassan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19333 W North Ave, Brookfield, WI 53045 Phone: 262-785-3010 | |
Jennifer Hong, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 150 S Sunny Slope Rd Ste 136, Brookfield, WI 53005 Phone: 262-786-4550 | |
Dr. Mushir Hassan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 17000 W North Ave, Suite 200 E, Brookfield, WI 53005 Phone: 262-782-4270 Fax: 262-784-9319 | |
Donald Roach, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 13950 W Capitol Dr, Brookfield, WI 53005 Phone: 414-302-5400 Fax: 414-305-5447 | |
Ramagopal J Tumuluri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18200 W Capitol Dr Ste 200, Brookfield, WI 53045 Phone: 262-444-5148 Fax: 262-444-5457 | |
Anna B Edlebeck, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21700 Intertech Dr, Springdale Health Center, Brookfield, WI 53045 Phone: 262-532-8300 Fax: 262-532-8600 | |
Siamak Arassi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19115 W Capitol Dr, 117, Brookfield, WI 53045 Phone: 262-781-0240 Fax: 262-373-0148 |