Nicolette Deveneau, | |
2350 N Lake Dr, Suite 504, Milwaukee, WI 53211-4528 | |
(414) 289-9668 | |
(414) 289-0974 |
Full Name | Nicolette Deveneau |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 16 Years |
Location | 2350 N Lake Dr, Milwaukee, 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 |
---|---|---|---|
1982877866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | TP (Kentucky) | Secondary |
2088F0040X | Urology - Female Pelvic Medicine And Reconstructive Surgery | 54414 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Madison Medical Affiliates Inc | 5991606337 | 80 |
Entity Name | Columbia St Marys Hospital Milwaukee Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
Entity Name | Madison Medical Affiliates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588695746 PECOS PAC ID: 5991606337 Enrollment ID: O20040119000018 |
Mailing Address | Practice Location Address |
---|---|
Nicolette Deveneau, 4425 N Port Washington Rd, Glendale, WI 53212-1082 Ph: (414) 326-2218 | Nicolette Deveneau, 2350 N Lake Dr, Suite 504, Milwaukee, WI 53211-4528 Ph: (414) 289-9668 |
Mark Ehlers, Urology Medicare: Medicare Enrolled Practice Location: 2801 W Kinnickinnic River Pkwy Ste 330, Milwaukee, WI 53215 Phone: 414-649-1280 Fax: 414-649-1288 | |
Dr. Michael L Guralnick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Urology, Milwaukee, WI 53226 Phone: 414-805-0805 Fax: 414-805-0771 | |
Dr. Arman Cicic, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd Ste 580, Milwaukee, WI 53226 Phone: 414-476-0430 | |
Dr. Pedro M. Banda, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2311 N Prospect Ave, Milwaukee, WI 53211 Phone: 414-319-3000 Fax: 414-319-3087 | |
Erica Lynn Eggers, Urology Medicare: Not Enrolled in Medicare Practice Location: 2350 N Lake Dr Ste 306, Milwaukee, WI 53211 Phone: 414-298-7171 | |
Dr. Jay I Sandlow, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Dept Of Urology, Milwaukee, WI 53226 Phone: 414-805-0805 Fax: 414-805-0771 | |
Joshua Alan Bodie, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Urology, Milwaukee, WI 53226 Phone: 414-805-0805 Fax: 414-805-0771 |