Dr Tracy Ann Martin, MD | |
725 American Ave, Waukesha, WI 53188-5031 | |
(262) 928-2400 | |
(262) 928-7621 |
Full Name | Dr Tracy Ann Martin |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 725 American Ave, Waukesha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306832597 | NPI | - | NPPES |
34467900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 41374-020 (Wisconsin) | Primary |
Entity Name | Radiology Waukesha Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730175258 PECOS PAC ID: 3274520648 Enrollment ID: O20040428000089 |
Mailing Address | Practice Location Address |
---|---|
Dr Tracy Ann Martin, MD 725 American Ave, Waukesha, WI 53188-5031 Ph: (262) 928-2400 | Dr Tracy Ann Martin, MD 725 American Ave, Waukesha, WI 53188-5031 Ph: (262) 928-2400 |
Dr. David Joseph Czarnecki, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 Fax: 262-928-7621 | |
Dr. Gregory Allen Kass, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 Fax: 262-928-7621 | |
Dr. David Morgan Roelke, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 Fax: 262-928-7621 | |
Dr. Jennifer T Bergin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 | |
Dr. David Orlin Yenerich, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 Fax: 262-928-7621 | |
Bambi R Weyers, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: N16w24131 Riverwood Drive, Waukesha, WI 53188 Phone: 262-696-0696 Fax: 262-696-0683 | |
Dr. Mark Glen Bakalars, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 Fax: 262-928-7621 |