Jennifer Thomas, MD | |
4202 W. Oakwood Park Ct., Ste 200, Franklin, WI 53132-9565 | |
(414) 423-5250 | |
(414) 423-5256 |
Full Name | Jennifer Thomas |
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Gender | Female |
Speciality | Pediatrics |
Location | 4202 W. Oakwood Park Ct., Franklin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578573382 | NPI | - | NPPES |
32207000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35632 (Wisconsin) | Primary |
Entity Name | Lakeshore Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Thomas, MD 100 15th Ave, #180, South Milwaukee, WI 53172-1160 Ph: (414) 768-5430 | Jennifer Thomas, MD 4202 W. Oakwood Park Ct., Ste 200, Franklin, WI 53132-9565 Ph: (414) 423-5250 |
Dr. Gary Duane Nordyke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10500 W Loomis Rd, Franklin, WI 53132 Phone: 414-529-9261 Fax: 414-529-9278 | |
Dr. Kimberly Anne Cronsell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7322 W Rawson Ave, Franklin, WI 53132 Phone: 414-433-9010 Fax: 414-433-9007 | |
Michael S Cianciolo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9200 W Loomis Rd, Franklin, WI 53132 Phone: 414-529-9200 | |
Dr. Angela L Baker-franckowiak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7322 W Rawson Ave, Franklin, WI 53132 Phone: 414-228-4800 Fax: 414-433-9007 | |
Dr. Heather A Underkofler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7322 W Rawson Ave, Franklin, WI 53132 Phone: 414-433-9010 Fax: 414-433-9007 | |
Sanjeev N. Shukla, M.D., F.A.A.P. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10101 South 27th Street, 3rd Floor - Mob, Franklin, WI 53132 Phone: 414-325-4920 Fax: 414-325-4921 | |
Stacey Mulry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7322 W Rawson Ave, Franklin, WI 53132 Phone: 414-433-9010 Fax: 414-433-9007 |