| Ms Mallorie A Bergstrom, PA-C | |
|
2727 N Mayfair Rd Ste I, Wauwatosa, WI 53222-4400 | |
| (414) 727-0910 | |
| (414) 727-0920 |
| Full Name | Ms Mallorie A Bergstrom |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 2727 N Mayfair Rd Ste I, Wauwatosa, 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 |
|---|---|---|---|
| 1730490012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2591-23 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Ent And Hearing Center, Sc | 9537240213 | 4 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mallorie A Bergstrom, PA-C Po Box 26071, Wauwatosa, WI 53226-0071 Ph: (414) 727-0910 | Ms Mallorie A Bergstrom, PA-C 2727 N Mayfair Rd Ste I, Wauwatosa, WI 53222-4400 Ph: (414) 727-0910 |
Demi Elisabeth Hagen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8915 W Connell Ave, Wauwatosa, WI 53226 Phone: 414-266-2626 | |
Ms. Jennifer Anne Luedke, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 N 99th St, Suite 101, Wauwatosa, WI 53226 Phone: 414-988-5100 Fax: 414-988-5102 | |
Mr. Benjamin Lehrer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2999 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-479-7000 Fax: 414-479-7001 | |
Lisa M Soboleski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6600 Fax: 414-454-6450 | |
Judith M Riesch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 N 99 St, Suite 201, Wauwatosa, WI 53226 Phone: 414-266-9700 Fax: 414-266-9701 | |
Gadeer Ayesh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2885 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 888-938-3838 | |
Kelly Tramburg, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3077 N Mayfair Rd Ste 100, Wauwatosa, WI 53222 Phone: 414-384-6700 Fax: 414-727-1058 |