Dmitriy B Chester, NP | |
1340 W Towne Square Rd Stop 5, Mequon, WI 53092-5076 | |
(262) 292-8101 | |
Not Available |
Full Name | Dmitriy B Chester |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1340 W Towne Square Rd Stop 5, Mequon, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235283508 | NPI | - | NPPES |
3009-033 | Other | WI | NURSE PRACTITIONER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3009-033 (Wisconsin) | Primary |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Entity Name | Medco Milwaukee Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306542394 PECOS PAC ID: 6608241369 Enrollment ID: O20230411001163 |
Mailing Address | Practice Location Address |
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Dmitriy B Chester, NP 9460 N Broadmoor Rd, Milwaukee, WI 53217-1309 Ph: (414) 412-9605 | Dmitriy B Chester, NP 1340 W Towne Square Rd Stop 5, Mequon, WI 53092-5076 Ph: (262) 292-8101 |
Mrs. Mary Katherine Kautz, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13133 N Port Washington Rd, Suite 122, Mequon, WI 53097 Phone: 262-243-3700 Fax: 262-243-3701 | |
Kathryn R Rodberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11430 N. Port Washington Rd., Mequon, WI 53092 Phone: 262-518-1900 | |
Lindsay A Wojciechowski, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200 | |
Annette S Harris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8239 | |
Kristen E Lachapell, MS, GNP-BC, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6425 W Mequon Rd, Mequon, WI 53092 Phone: 262-236-6602 | |
Kathryn Ann Cesarz, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13111 N Port Washington Rd Rm 121, Mequon, WI 53097 Phone: 262-243-7300 | |
Pamela D. Powell, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6425 W Mequon Rd, Mequon, WI 53092 Phone: 262-242-0051 |