Mark J Dykstra, MD | |
N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 | |
(262) 251-7500 | |
(262) 251-7128 |
Full Name | Mark J Dykstra |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 42 Years |
Location | N84w16889 Menomonee Ave, Menomonee Falls, 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 |
---|---|---|---|
1083646772 | NPI | - | NPPES |
34132500 | Medicaid | WI | |
P00462688 | Other | WI | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 43757 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Advanced Healthcare Inc | 3375625833 | 928 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Mark J Dykstra, MD 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 Ph: (414) 352-3100 | Mark J Dykstra, MD N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 Ph: (262) 251-7500 |
Kevin M Zeeck, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: N84w16889 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-251-7500 | |
Dr. Jeffrey Paul Bejma, MD Urology Medicare: Accepting Medicare Assignments Practice Location: W129n7055 Northfield Dr, Community Memorial Medical Commons, Menomonee Falls, WI 53051 Phone: 262-253-5400 Fax: 262-253-3399 | |
Michelle Andrew, MD Urology Medicare: Accepting Medicare Assignments Practice Location: W180n8000 Town Hall Rd, Urology, Menomonee Falls, WI 53051 Phone: 262-255-2500 |