West Bend Clinic, Inc. is a
Family Medicine based in West Bend, Wisconsin. West Bend Clinic, Inc. is licensed to practice in * (Not Available) (license number ) and their current practice location is
1700 W Paradise Dr, West Bend, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(262) 334-3451.
NPI number for West Bend Clinic, Inc. is 1235106311 and their current mailing address is 1700 W Paradise Dr, West Bend, Wisconsin. West Bend Clinic, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1235106311.
Healthcare Provider's Profile
| Full Name | West Bend Clinic, Inc. |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 1700 W Paradise Dr, West Bend, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1235106311
- Provider Enumeration Date: 03/07/2006
- Last Update Date: 05/04/2011
Medical Identifiers
Medical identifiers for West Bend Clinic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235106311 | NPI | - | NPPES |
| 21251400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
| 2085U0001X | Radiology - Diagnostic Ultrasound | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 208800000X | Urology | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. West Bend Clinic, Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
West Bend Clinic, Inc.
1700 W Paradise Dr,
West Bend, WI 53095-9795
Ph: (262) 334-3451 | West Bend Clinic, Inc.
1700 W Paradise Dr,
West Bend, WI 53095-9795
Ph: (262) 334-3451 |
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