| Prohealth Medical Group Inc | |
|
1500 Walnut Ridge Dr Hartland WI 53029-9317 | |
| (262) 928-7500 | |
| (262) 367-8744 |
| Full Name | Prohealth Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 Walnut Ridge Dr, Hartland, Wisconsin |
| Authorized Official Name and Position | Peter Geiss, Md (PRESIDENT) |
| Authorized Official Contact | 2629288669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Medical Group Inc N17 W24100 Riverwood Dr Suite 250 Waukesha WI 53188-1131 Ph: (262) 928-4100 | Prohealth Medical Group Inc 1500 Walnut Ridge Dr Hartland WI 53029-9317 Ph: (262) 928-7500 |
| NPI Number | 1386785178 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 05/23/2022 |
| Medicare PECOS PAC ID | 3476465188 |
|---|---|
| Medicare Enrollment ID | O20111219000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386785178 | NPI | - | NPPES |
| 0505180017 | Other | WI | DME |
| 32819100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Integrative Medical And Wellness, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 Hartbrook Dr Ste H, Hartland, WI 53029 Phone: 262-369-7900 | |
Music Therapy Services Of Waukesha County, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 James Dr, Hartland, WI 53029 Phone: 262-367-6663 Fax: 262-367-3056 |