| Infectious Disease Specialists Of Se Wi, Sc | |
|
150 S. Sunny Slope Rd Suite 136 Brookfield WI 53005 | |
| (262) 786-4550 | |
| (262) 786-4552 |
| Full Name | Infectious Disease Specialists Of Se Wi, Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 S. Sunny Slope Rd, Brookfield, Wisconsin |
| Authorized Official Name and Position | David M Letzer (SECRETARY / TREASURER) |
| Authorized Official Contact | 2627864550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Specialists Of Se Wi, Sc 150 S. Sunny Slope Rd Suite 136 Brookfield WI 53005 Ph: (262) 786-4550 | Infectious Disease Specialists Of Se Wi, Sc 150 S. Sunny Slope Rd Suite 136 Brookfield WI 53005 Ph: (262) 786-4550 |
| NPI Number | 1285684506 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 12/02/2011 |
| Medicare PECOS PAC ID | 5890697874 |
|---|---|
| Medicare Enrollment ID | O20040121000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285684506 | NPI | - | NPPES |
| 32764900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Thomas A Taft |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851341994 PECOS PAC ID: 0749182723 Enrollment ID: I20040122000514 |
| Provider Name | William D Timm |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902856016 PECOS PAC ID: 7911809991 Enrollment ID: I20040122000548 |
| Provider Name | David M Letzer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255382529 PECOS PAC ID: 5294637278 Enrollment ID: I20040122000572 |
| Provider Name | Michelle Agnew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720051550 PECOS PAC ID: 5597660647 Enrollment ID: I20040924001003 |
| Provider Name | Jennifer J Hong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033658232 PECOS PAC ID: 7416227426 Enrollment ID: I20221128001488 |
Douglas Lloyd Brown, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17160 W North Ave Ste 202, Brookfield, WI 53005 Phone: 262-797-6770 Fax: 262-797-6772 | |
Lorelle M Manion, Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 N Barker Rd, Suite 1, Brookfield, WI 53045 Phone: 262-784-3200 Fax: 262-784-8198 | |
Towne Centre Medical, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19035 W Capitol Dr, Suite 101, Brookfield, WI 53045 Phone: 262-754-1421 Fax: 262-754-3760 | |
Christian Family Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd, Suite 305, Brookfield, WI 53005 Phone: 800-438-1772 Fax: 262-293-9737 | |
Elmbrook Internal Medicine Associates S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17000 W North Ave, Suite 200e, Brookfield, WI 53005 Phone: 262-782-4270 Fax: 262-784-9319 | |
Legacy Physiatry Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Executive Dr, Suite 101, Brookfield, WI 53005 Phone: 972-372-1663 |