Mr Timothy William Allen, MD | |
4580 S Nicholson Ave, Cudahy, WI 53110-1360 | |
(414) 326-4800 | |
(855) 270-4751 |
Full Name | Mr Timothy William Allen |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 4580 S Nicholson Ave, Cudahy, 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 |
---|---|---|---|
1720007271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0401X | Family Medicine - Addiction Medicine | 45304-020 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 45304-020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Independent Physicians Of Wisconsin Llc | 3274842034 | 30 |
Entity Name | Independent Physicians Of Wisconsin Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871975920 PECOS PAC ID: 3274842034 Enrollment ID: O20151016001548 |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy William Allen, MD 4580 S Nicholson Ave, Cudahy, WI 53110-1360 Ph: (414) 326-4800 | Mr Timothy William Allen, MD 4580 S Nicholson Ave, Cudahy, WI 53110-1360 Ph: (414) 326-4800 |
Nikki Allen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4580 S Nicholson Ave, Cudahy, WI 53110 Phone: 414-326-4800 Fax: 855-270-4751 | |
Mr. Shujahat Ali Chaudhry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-4190 | |
Dr. Ami Prag, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 S Lake Drive, #100, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-489-4015 | |
Dr. Christian John Sanvanson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-9000 | |
Rebecca L Scerpella, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 S. Lake Dr., Lakeshore Medical Clinic, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-489-4015 | |
Stephen C Lamberton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 S. Lake Drive, Lakeshore Medical Clinic, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-489-4015 |