Lucas M Boehm, MD | |
6002 N Port Washington Rd, Milwaukee, WI 53217-4524 | |
(414) 439-3000 | |
Not Available |
Full Name | Lucas M Boehm |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 6002 N Port Washington Rd, 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 |
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1104288430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208200000X | Plastic Surgery | 68458-20 (Wisconsin) | Primary |
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Entity Name | Cj Hussussian Md Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831260405 PECOS PAC ID: 1456339993 Enrollment ID: O20040710000316 |
Mailing Address | Practice Location Address |
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Lucas M Boehm, MD N86w14041 Beacon St, Menomonee Falls, WI 53051-3246 Ph: (414) 439-3000 | Lucas M Boehm, MD 6002 N Port Washington Rd, Milwaukee, WI 53217-4524 Ph: (414) 439-3000 |
Dr. Mark Walter Bosbous, Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Avenue, Plastic Surgery, Milwaukee, WI 53226 Phone: 414-805-3666 | |
Dr. Kuylhee Kim, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Dept Of Plastic Surgery, Milwaukee, WI 53226 Phone: 414-805-5440 Fax: 414-259-0901 | |
Dr. Roger C Mixter, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5201 N Port Washington Rd, Milwaukee, WI 53217 Phone: 414-963-0500 Fax: 414-963-0359 | |
Dr. Mark Francis Blake, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6002 N Port Washington Rd, Milwaukee, WI 53217 Phone: 414-963-0676 Fax: 414-755-0743 | |
Dr. Kate Buretta Krucoff, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1155 N Mayfair Rd, Milwaukee, WI 53226 Phone: 414-955-5990 Fax: 414-955-6282 | |
Lawrence A. Sterkin, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2801 W Kinnickinnic River Pkwy Ste 540, Milwaukee, WI 53215 Phone: 414-649-5038 |