Gretchen Roth, MD | |
10000 W Bluemound Rd, Wauwatosa, WI 53226-4321 | |
(414) 454-4321 | |
(414) 805-3808 |
Full Name | Gretchen Roth |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 10 Years |
Location | 10000 W Bluemound Rd, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912311614 | NPI | - | NPPES |
1912311614 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 69129 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Medical College Of Wisconsin Inc | 2668384371 | 1736 |
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1052 |
Entity Name | The Medical College Of Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
---|---|
Gretchen Roth, MD 10000 W Bluemound Rd, Wauwatosa, WI 53226-4321 Ph: (414) 454-4321 | Gretchen Roth, MD 10000 W Bluemound Rd, Wauwatosa, WI 53226-4321 Ph: (414) 454-4321 |
Julia Marian Kasprzak, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-454-8000 Fax: 414-805-3808 | |
Dr. Melanie Anne Clark, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-454-8000 Fax: 414-805-3808 | |
Keri Chaney, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-454-8000 Fax: 414-805-3808 | |
Keely Marshall, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-454-8000 Fax: 414-805-3808 | |
Daniel Raymond Knabel, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-454-8000 Fax: 414-805-3808 | |
Dr. James H Barnett, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2600 N Mayfair Rd, Suite 810, Wauwatosa, WI 53226 Phone: 414-771-1122 | |
Dr. Valerie Margaret Carlberg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-454-8000 Fax: 414-805-3808 |