James H Davis, DO | |
110 Lone Oak Ln, Hartford, WI 53027-2600 | |
(262) 670-1800 | |
(262) 836-1601 |
Full Name | James H Davis |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 110 Lone Oak Ln, Hartford, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497713515 | NPI | - | NPPES |
30015600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23412 (Wisconsin) | Primary |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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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 |
---|---|
James H Davis, DO 110 Lone Oak Ln, Hartford, WI 53027-2600 Ph: (262) 670-1800 | James H Davis, DO 110 Lone Oak Ln, Hartford, WI 53027-2600 Ph: (262) 670-1800 |
Amber Hildebrandt, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Lone Oak Ln, Hartford, WI 53027 Phone: 262-670-1800 | |
Michael J Long, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Bruce Edward Hickman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 Fax: 262-670-4451 | |
Carter A Aune, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Lone Oak Ln, Hartford, WI 53027 Phone: 262-670-1800 | |
Paul V Bullis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 Fax: 262-670-4451 | |
Nicholas John Brahm, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4000 | |
Erin L Polczynski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-369-7040 Fax: 262-367-8744 |