Mark S Bostwick, MD | |
1777 W Grand Avenue, Port Washington, WI 53074 | |
(262) 284-3456 | |
(262) 284-4543 |
Full Name | Mark S Bostwick |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 46 Years |
Location | 1777 W Grand Avenue, Port Washington, 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 |
---|---|---|---|
1487686614 | NPI | - | NPPES |
P00679658 | Other | WI | RR MEDICARE |
30397000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 22296 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora At Home | Milwaukee, WI | Home health agency |
Aurora Medical Center - Grafton | Grafton, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Advanced Healthcare Inc | 3375625833 | 928 |
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 S Bostwick, MD 3003 W Good Hope Road, Milwaukee, WI 53209 Ph: (414) 352-3100 | Mark S Bostwick, MD 1777 W Grand Avenue, Port Washington, WI 53074 Ph: (262) 284-3456 |
Kenneth F. Jensen Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1777 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-3456 Fax: 262-284-4543 | |
Erik Riley Jeanes, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 | |
Douglas B Mcmanus, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1777 W Grand Avenue, Port Washington, WI 53074 Phone: 262-284-3456 Fax: 262-284-4543 |