Katharine Van Fossen, MD | |
2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | |
(414) 372-8080 | |
(414) 562-8447 |
Full Name | Katharine Van Fossen |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 2555 N Dr Martin Luther King Dr, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356316483 | NPI | - | NPPES |
33336700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 42284-20 (Wisconsin) | Primary |
Entity Name | Aspirus Medford Hospital & Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285703173 PECOS PAC ID: 5799688602 Enrollment ID: O20040129000007 |
Entity Name | Prairie Ridge Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
Entity Name | Divine Savior Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
Entity Name | Milwaukee Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518005818 PECOS PAC ID: 7416946884 Enrollment ID: O20040511000114 |
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 |
Entity Name | Watertown Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
Entity Name | Obhg Wisconsin Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699273862 PECOS PAC ID: 0840551750 Enrollment ID: O20180309000278 |
Mailing Address | Practice Location Address |
---|---|
Katharine Van Fossen, MD 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 Ph: (414) 372-8080 | Katharine Van Fossen, MD 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 Ph: (414) 372-8080 |
Sofia Gabrilovich, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6673 | |
Irina Kostova Dimitrova, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2350 N Lake Dr, Milwaukee, WI 53211 Phone: 414-585-1949 | |
Dr. Dwight P Cruikshank, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Froedtert & Med College Clin - East, Milwaukee, WI 53226 Phone: 414-805-3666 | |
Kristine R. Graettinger, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6600 Fax: 414-805-6622 | |
Mrs. Helena M Coke, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 'none', Milwaukee, WI 53224 Phone: 414-760-2934 | |
Paul Ginkel, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 930 W Historic Mitchell St, Milwaukee, WI 53204 Phone: 414-383-9526 Fax: 414-389-3881 | |
Colleen Anne Keane-mullooly, RNC,MS,WHNP Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 302 N Jackson St, Milwaukee, WI 53202 Phone: 608-347-2297 |