Dr Zachary Richardson, MD | |
125 Hospital Dr, Watertown, WI 53098 | |
(920) 245-5741 | |
Not Available |
Full Name | Dr Zachary Richardson |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 9 Years |
Location | 125 Hospital Dr, Watertown, 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 |
---|---|---|---|
1437544863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125066444 (Illinois) | Secondary |
207R00000X | Internal Medicine | 69363-20 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rainbow Hospice Care | Jefferson, WI | Hospice |
Watertown Memorial Hospital | Watertown, WI | Hospital |
Fort Memorial Hospital | Fort atkinson, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Apogee Medical Group Wisconsin Sc | 2365677952 | 36 |
Entity Name | Apogee Medical Group Wisconsin Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629415591 PECOS PAC ID: 2365677952 Enrollment ID: O20131107001094 |
Entity Name | Apogee Medical Group Waukesha Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528544608 PECOS PAC ID: 1153670054 Enrollment ID: O20180827002216 |
Mailing Address | Practice Location Address |
---|---|
Dr Zachary Richardson, MD 1260 N Prospect Ave Apt 707, Milwaukee, WI 53202-3097 Ph: (815) 297-6384 | Dr Zachary Richardson, MD 125 Hospital Dr, Watertown, WI 53098 Ph: (920) 245-5741 |
Mr. Moazam Jah Samdani, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 123 Hospital Dr, Suite 2009, Watertown, WI 53098 Phone: 920-262-9833 Fax: 920-262-9834 | |
Edward Fairfax Frost, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Air Park Dr, Prohealth Care Medical Associates Inc., Watertown, WI 53094 Phone: 262-928-5100 | |
Mohamed H Yafai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Hospital Drive, Suite 2009, Watertown, WI 53098 Phone: 920-262-9833 Fax: 920-262-9834 | |
Alan L. Detwiler, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 125 Hospital Dr, Watertown, WI 53098 Phone: 920-262-4210 |