Katherine Dalzotto, MD | |
N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188-1031 | |
(262) 547-3352 | |
Not Available |
Full Name | Katherine Dalzotto |
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Gender | Female |
Speciality | Ophthalmology |
Location | N19w23993 Ridgeview Pkwy W Ste 100, 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 |
---|---|---|---|
1144781188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 76937 (Wisconsin) | Primary |
Entity Name | Medical Eye Associates Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023066636 PECOS PAC ID: 0941195036 Enrollment ID: O20040218000184 |
Mailing Address | Practice Location Address |
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Katherine Dalzotto, MD N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188-1031 Ph: (262) 547-3352 | Katherine Dalzotto, MD N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188-1031 Ph: (262) 547-3352 |
Gregory R Lochen, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1111 Delafield St, Suite 312, Waukesha, WI 53188 Phone: 262-547-3352 Fax: 262-547-9142 | |
Douglas M. Long, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188 Phone: 262-547-3352 | |
R. R. Flickinger Jr., M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1111 Delafield St, Suite 312, Waukesha, WI 53188 Phone: 262-547-3352 Fax: 262-547-9142 | |
Deborah W Bernstein, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: N19w23993 Ridgeview Pkwy W Ste 100, Waukesha, WI 53188 Phone: 262-547-3352 Fax: 262-547-9142 | |
Josephine-liezl P Cueto, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: W231n1440 Corporate Ct, Waukesha, WI 53186 Phone: 262-896-6000 | |
Bruce Brown, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1111 Delafield St Ste 10, Waukesha, WI 53188 Phone: 262-547-7002 Fax: 262-547-1815 |