Mark P Hastings, DPM | |
3431 N 51st Blvd, Milwaukee, WI 53216-3228 | |
(414) 873-0772 | |
(414) 873-3933 |
Full Name | Mark P Hastings |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 34 Years |
Location | 3431 N 51st Blvd, Milwaukee, 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 |
---|---|---|---|
1720283138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 659025 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakewood Resource And Referral Center Inc | 6901981497 | 68 |
Provider Name | Lakewood Resource And Referral Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083748297 PECOS PAC ID: 6901981497 Enrollment ID: O20080307000331 |
Mailing Address | Practice Location Address |
---|---|
Mark P Hastings, DPM 3431 N 51st Blvd, Milwaukee, WI 53216-3228 Ph: (414) 873-7668 | Mark P Hastings, DPM 3431 N 51st Blvd, Milwaukee, WI 53216-3228 Ph: (414) 873-0772 |
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