Leslie M Hertz, MD | |
3807 Spring St, Racine, WI 53405-1667 | |
(262) 687-8282 | |
(262) 687-6737 |
Full Name | Leslie M Hertz |
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Gender | Female |
Speciality | Pediatrics |
Location | 3807 Spring St, Racine, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164566972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 37663 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
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Leslie M Hertz, MD 3807 Spring St, Racine, WI 53405-1667 Ph: (262) 687-8282 | Leslie M Hertz, MD 3807 Spring St, Racine, WI 53405-1667 Ph: (262) 687-8282 |
Jeffrey Naus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8282 | |
Dr. Katherine Furman Canfield, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3821 Spring St, Racine, WI 53405 Phone: 262-687-3672 | |
Margaret M. Hennessy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8282 | |
Willard Nettles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8282 | |
Stephen T. Flox, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8282 | |
Kristen Wasilowski Cook, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8282 |