Melanie Custer, MD | |
611 Veterans Ave Unit 106, West Bend, WI 53090-2559 | |
(262) 353-4460 | |
(262) 353-4461 |
Full Name | Melanie Custer |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 13 Years |
Location | 611 Veterans Ave Unit 106, West Bend, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053686493 | NPI | - | NPPES |
1053686493 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 70643-20 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deaconess Clinic Inc | 3375610116 | 343 |
Entity Name | Deaconess Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
Mailing Address | Practice Location Address |
---|---|
Melanie Custer, MD 103 Financial Pl, Suite 100, Elizabethtown, KY 42701-4470 Ph: (270) 769-0110 | Melanie Custer, MD 611 Veterans Ave Unit 106, West Bend, WI 53090-2559 Ph: (262) 353-4460 |
Colleen J Reichel, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 Fax: 262-338-7684 | |
Lisa K Seefeld, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 Fax: 262-338-7142 | |
Dr. Sylvia Hillmann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Mark R Staszkiewicz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Heather I Osborn, Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Jeffrey B Goza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-334-3451 Fax: 262-306-2964 |