Julie M Mokhtar, DO | |
650 Mcmillen St, Fort Atkinson, WI 53538-1275 | |
(920) 563-8900 | |
(920) 563-0318 |
Full Name | Julie M Mokhtar |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 650 Mcmillen St, Fort Atkinson, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942221437 | NPI | - | NPPES |
30065800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 36399-021 (Wisconsin) | Primary |
Entity Name | Fort Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
Mailing Address | Practice Location Address |
---|---|
Julie M Mokhtar, DO 650 Mcmillen St, Fort Atkinson, WI 53538-1275 Ph: (920) 563-8900 | Julie M Mokhtar, DO 650 Mcmillen St, Fort Atkinson, WI 53538-1275 Ph: (920) 563-8900 |
Elizabeth H Lynk, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 650 Mcmillen St, Fort Atkinson, WI 53538 Phone: 303-318-3830 Fax: 303-318-3825 | |
Christine A Chuppa, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 650 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-8900 Fax: 920-563-0318 | |
Nancy L Aguirre, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 650 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-8900 Fax: 920-563-0318 | |
Molly M Larson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 650 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-8900 |