Thomas J Sheedy, MD | |
2130 Big Bend Rd, Prohealth Care Medical Associates Inc., Waukesha, WI 53189-7624 | |
(262) 928-7555 | |
(262) 513-7575 |
Full Name | Thomas J Sheedy |
---|---|
Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 2130 Big Bend Rd, Waukesha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053383695 | NPI | - | NPPES |
32237100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 37781 (Wisconsin) | Primary |
Entity Name | Prohealth Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
Mailing Address | Practice Location Address |
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Thomas J Sheedy, MD 2130 Big Bend Rd, Prohealth Care Medical Associates Inc., Waukesha, WI 53189-7624 Ph: (262) 928-7555 | Thomas J Sheedy, MD 2130 Big Bend Rd, Prohealth Care Medical Associates Inc., Waukesha, WI 53189-7624 Ph: (262) 928-7555 |
Dr. Dennis Banez Zaide, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2315 E Moreland Blvd, Westbrook Primary Care And Ob/gyn Clinic, Waukesha, WI 53186 Phone: 262-352-5700 Fax: 262-532-5701 | |
Thomas Francis Dubois, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1111 Delafield St Ste 115, Waukesha, WI 53188 Phone: 262-542-2536 | |
Dr. Mary C Donovan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20611 Watertown Rd, Suite C, Waukesha, WI 53186 Phone: 262-798-1810 Fax: 262-798-2614 | |
Dr. Kathryn D. Iorio, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 Delafield St, Suite 115, Waukesha, WI 53188 Phone: 262-542-2536 Fax: 262-542-2791 | |
Yasmin K Bhathena, MD Pediatrics Medicare: Medicare Enrolled Practice Location: W231n1440 Corporate Ct, Waukesha, WI 53186 Phone: 262-896-6000 | |
Dr. Dennis James Saran, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20611 Watertown Rd, Suite C, Waukesha, WI 53186 Phone: 262-798-1810 Fax: 262-798-2614 |