| Gastroenterology Specialists Sc | |
|
1111 Delafield St Suite 212 Waukesha WI 53188-3417 | |
| (262) 544-8622 | |
| (262) 544-8630 |
| Full Name | Gastroenterology Specialists Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Delafield St, Waukesha, Wisconsin |
| Authorized Official Name and Position | Nicole Marquez (BILLING MANAGER) |
| Authorized Official Contact | 4149086601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Specialists Sc 2801 W Kinnickinnic River Pkwy Ste 1080 Milwaukee WI 53215-3689 Ph: (414) 908-6601 | Gastroenterology Specialists Sc 1111 Delafield St Suite 212 Waukesha WI 53188-3417 Ph: (262) 544-8622 |
| NPI Number | 1558443549 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 12/08/2021 |
| Medicare PECOS PAC ID | 3375626195 |
|---|---|
| Medicare Enrollment ID | O20080903000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558443549 | NPI | - | NPPES |
| 32879000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Wisconsin) | Primary |
| Provider Name | Aravind S Vijayapal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922198282 PECOS PAC ID: 8325096142 Enrollment ID: I20050108000165 |
| Provider Name | David M Staff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386619427 PECOS PAC ID: 6709965288 Enrollment ID: I20090325000478 |
| Provider Name | Jamie L Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942583182 PECOS PAC ID: 5193998813 Enrollment ID: I20111025000512 |
| Provider Name | Nicolle A Farvour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568702827 PECOS PAC ID: 6103064241 Enrollment ID: I20130530000531 |
| Provider Name | Nicole M Griglione |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568649358 PECOS PAC ID: 9830324243 Enrollment ID: I20131021000101 |
Waukesha Family Practice Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Nw Barstow St, Suite 201, Waukesha, WI 53188 Phone: 262-548-6903 Fax: 262-928-4075 | |
Spring City Health Centre Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 N Grand Ave, Waukesha, WI 53186 Phone: 262-547-3055 | |
Chestnut Medicine Of Wi Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1451 Cleveland Ave, Waukesha, WI 53186 Phone: 262-547-2123 Fax: 262-547-6204 | |
Verma Medical Services, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave, Suite#409, Waukesha, WI 53188 Phone: 262-928-8610 Fax: 262-928-8615 | |
Prohealth Care Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N4w22370 Bluemound Rd, Waukesha, WI 53186 Phone: 262-928-4880 Fax: 262-547-8820 | |
Nuderma Med Spa And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N14w23777 Stone Ridge Dr Ste 290, Waukesha, WI 53188 Phone: 262-716-7580 | |
Paul B Doenier Md, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Delafield St Ste 300, Waukesha, WI 53188 Phone: 262-446-0955 Fax: 262-446-0055 |