Trista Kleppin, MD | |
S68w15500 Janesville Rd, Muskego, WI 53150-2613 | |
(414) 422-4000 | |
Not Available |
Full Name | Trista Kleppin |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 14 Years |
Location | S68w15500 Janesville Rd, Muskego, 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 |
---|---|---|---|
1689015554 | NPI | - | NPPES |
100046031 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 125061468 (Illinois) | Secondary |
207Q00000X | Family Medicine | 63772 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora At Home | Milwaukee, WI | Home health agency |
West Allis Memorial Hospital | West allis, WI | Hospital |
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeshore Medical Clinic Llc | 7719890730 | 293 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Mailing Address | Practice Location Address |
---|---|
Trista Kleppin, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Trista Kleppin, MD S68w15500 Janesville Rd, Muskego, WI 53150-2613 Ph: (414) 422-4000 |
Dr. Christopher Joseph Bermudez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: S68w15500 Janesville Rd, Muskego, WI 53150 Phone: 414-422-4000 Fax: 414-422-4001 | |
Maysa Sameh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: S68w15500 Janesville Rd, Muskego, WI 53150 Phone: 414-422-4000 | |
Dragos Ghinea, Family Medicine Medicare: Medicare Enrolled Practice Location: S68w15500 Janesville Rd, Muskego, WI 53150 Phone: 414-422-4000 Fax: 414-422-4001 | |
Brian J Dudor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: S74 W16775 Janesville Road, Muskego, WI 53150 Phone: 414-422-2180 Fax: 414-422-2185 |