Dr Andrew J Marso, DPM | |
6130 S 108th Street, Hales Corners, WI 53130-2525 | |
(414) 425-8400 | |
(414) 425-8425 |
Full Name | Dr Andrew J Marso |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 21 Years |
Location | 6130 S 108th Street, Hales Corners, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699753848 | NPI | - | NPPES |
P00717384 | Other | WI | RAIL ROAD MEDICARE GROUP MEMBER PTAN # |
43239300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 896-025 (Wisconsin) | Secondary |
213ES0131X | Podiatrist - Foot Surgery | 896-025 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wisconsin Foot Center, Llc | 2769546985 | 2 |
Provider Name | Rock River Foot & Ankle Clinic, Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043263007 PECOS PAC ID: 3577554526 Enrollment ID: O20040519001236 |
Provider Name | Wisconsin Foot Center, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326299553 PECOS PAC ID: 2769546985 Enrollment ID: O20090202000522 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew J Marso, DPM 6130 S 108th Street, Hales Corners, WI 53130-2525 Ph: (414) 425-8400 | Dr Andrew J Marso, DPM 6130 S 108th Street, Hales Corners, WI 53130-2525 Ph: (414) 425-8400 |
Wisconsin Foot Center, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 6130 S 108th Street, Hales Corners, WI 53130 Phone: 414-425-8400 Fax: 414-425-8425 | |
James C. Boudreau, Dpm, Sc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6191 S. 108th St., Hales Corners, WI 53130 Phone: 414-425-5140 Fax: 414-425-7960 | |
Dr. Theodore M. Ludwig, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6191 S 108th St, Hales Corners, WI 53130 Phone: 414-425-5140 Fax: 414-425-7960 |