Dr Traci Renae Fritz, MD | |
6100 W State St Apt 404, Wauwatosa, WI 53213-2994 | |
(254) 485-9570 | |
(414) 475-7706 |
Full Name | Dr Traci Renae Fritz |
---|---|
Gender | Female |
Speciality | General Practice |
Location | 6100 W State St Apt 404, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104090265 | NPI | - | NPPES |
1104090265 | Medicaid | WI | |
1508830076 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 64874 (Wisconsin) | Primary |
Entity Name | Compassionate Doctors Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427380450 PECOS PAC ID: 4486783107 Enrollment ID: O20100518000784 |
Mailing Address | Practice Location Address |
---|---|
Dr Traci Renae Fritz, MD 6100 W State St Apt 404, Wauwatosa, WI 53213-2994 Ph: (254) 485-9570 | Dr Traci Renae Fritz, MD 6100 W State St Apt 404, Wauwatosa, WI 53213-2994 Ph: (254) 485-9570 |
Dr. Annaliese Marie Koller Shumate, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 1155 N Mayfair Rd, 3rd Floor, Department Of Psychiatry, Wauwatosa, WI 53226 Phone: 414-955-8990 | |
Nikhath Irfana, M.D General Practice Medicare: Accepting Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6753 | |
Joseph A Locke, D.O General Practice Medicare: Not Enrolled in Medicare Practice Location: 2500 N Mayfair Rd Ste 630, Wauwatosa, WI 53226 Phone: 262-202-8312 Fax: 414-973-2870 | |
Dr. Vicki Lynn Taylor, General Practice Medicare: Not Enrolled in Medicare Practice Location: 11803 W North Ave, Wauwatosa, WI 53226 Phone: 414-258-5522 Fax: 414-258-1337 | |
Dr. Sylvia W Warren, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 11803 W North Ave, Wauwatosa, WI 53226 Phone: 414-258-5522 Fax: 414-258-1337 |