Julie P Wilson, MD | |
725 American Ave, Waukesha, WI 53188-5031 | |
(262) 928-8200 | |
(262) 928-8699 |
Full Name | Julie P Wilson |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
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 |
---|---|---|---|
1790759215 | NPI | - | NPPES |
31389100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 39064 (Wisconsin) | Primary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 39064 (Wisconsin) | Secondary |
Entity Name | Prohealth Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
Mailing Address | Practice Location Address |
---|---|
Julie P Wilson, MD N17w24100 Riverwood Dr, Suite 250, Waukesha, WI 53188-1177 Ph: (262) 928-4100 | Julie P Wilson, MD 725 American Ave, Waukesha, WI 53188-5031 Ph: (262) 928-8200 |
Emily J Hill, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2445 | |
Kathleen Jane Bussen, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: N16w24131 Riverwood Dr, Waukesha, WI 53188 Phone: 262-696-0765 Fax: 262-696-0768 | |
Dr. Sunlung Suen, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1625 Coldwater Creek Dr, Waukesha, WI 53188 Phone: 262-521-8800 | |
Yechiel Kleen, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1625 Coldwater Creek Dr, Rehabilitation Hospital Of Wisconsin, Waukesha, WI 53188 Phone: 262-521-8800 | |
Tatyana M Gerachshenko, MD,PHD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 721 American Ave Ste 108, Waukesha, WI 53188 Phone: 262-928-8200 | |
Rachael Hackbarth, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: N26w23977 Watertown Rd, Waukesha, WI 53188 Phone: 262-523-0933 |