Peter J Quandt, MD | |
36500 Aurora Dr, Summit, WI 53066-4899 | |
(262) 434-4711 | |
Not Available |
Full Name | Peter J Quandt |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 36500 Aurora Dr, Summit, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790708964 | NPI | - | NPPES |
P00147641 | Other | WI | MEDICARE RAILROAD |
1790708964 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 41183-020 (Wisconsin) | Secondary |
208M00000X | Hospitalist | 41183 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Entity Name | Watertown Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
Mailing Address | Practice Location Address |
---|---|
Peter J Quandt, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-4711 | Peter J Quandt, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-4711 |
Anthony J Wampole, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 | |
Dr. Varun Mehta, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 |