| Prohealth Medical Group Inc | |
|
S69w15636 Janesville Rd Muskego WI 53150-9330 | |
| (262) 928-7000 | |
| (414) 422-2075 |
| Full Name | Prohealth Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | S69w15636 Janesville Rd, Muskego, 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 N17w24100 Riverwood Dr Suite 250 Waukesha WI 53188-1177 Ph: (262) 928-4100 | Prohealth Medical Group Inc S69w15636 Janesville Rd Muskego WI 53150-9330 Ph: (262) 928-7000 |
| NPI Number | 1114068970 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 05/23/2022 |
| Medicare PECOS PAC ID | 3476465188 |
|---|---|
| Medicare Enrollment ID | O20111207000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114068970 | NPI | - | NPPES |
| 32819000 | Medicaid | WI | |
| 0505180004 | Other | WI | DME |
Solidaritus Health Wisconsin Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: W183s8750 Racine Ave # 3, Muskego, WI 53150 Phone: 262-971-1798 Fax: 262-679-1378 |