Marc Gunderson, MD | |
1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | |
(414) 955-5990 | |
(414) 955-6282 |
Full Name | Marc Gunderson |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 11 Years |
Location | 1155 N Mayfair Rd, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194067561 | NPI | - | NPPES |
1194067561 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 2017014153 (Missouri) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 62813-20 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Medical College Of Wisconsin Inc | 2668384371 | 1736 |
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1052 |
Entity Name | The Medical College Of Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
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 |
Mailing Address | Practice Location Address |
---|---|
Marc Gunderson, MD 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 Ph: (414) 955-5990 | Marc Gunderson, MD 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 Ph: (414) 955-5990 |
Christopher R Takala, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Psychiatry, Milwaukee, WI 53226 Phone: 414-607-5280 | |
Mr. Joseph S. Goveas, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1155 N Mayfair Rd, Department Of Psychiatry, Milwaukee, WI 53226 Phone: 414-955-8900 Fax: 414-955-6285 | |
Dr. Bhupendra O Khatri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3237 S 16th St, Milwaukee, WI 53215 Phone: 414-769-4040 Fax: 414-769-4041 | |
Joshua E Medow, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Neurocritical Care, Milwaukee, WI 53226 Phone: 414-805-8710 Fax: 414-805-1101 | |
Gina G Negrette, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 820 N Plankinton Ave, Milwaukee, WI 53203 Phone: 414-273-1991 | |
Dr. John Pankiewicz, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 821 W State St, Suite 504, Milwaukee, WI 53233 Phone: 414-278-4690 Fax: 414-223-1817 | |
Biana Kotlyar, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2323 N Lake Dr, 1st Floor, Milwaukee, WI 53211 Phone: 414-291-1620 Fax: 414-291-5969 |