St. Bens Clinic | |
1004 N 10th St Milwaukee WI 53233-1423 | |
(414) 727-6320 | |
Not Available |
Full Name | St. Bens Clinic |
---|---|
Speciality | Clinic/Center |
Location | 1004 N 10th St, Milwaukee, Wisconsin |
Authorized Official Name and Position | Julia Harris Robinson (CEO) |
Authorized Official Contact | 4149649016 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
St. Bens Clinic 220 W Capitol Dr Milwaukee WI 53212-1185 Ph: (414) 964-9018 | St. Bens Clinic 1004 N 10th St Milwaukee WI 53233-1423 Ph: (414) 727-6320 |
NPI Number | 1487144697 |
---|---|
Provider Enumeration Date | 05/14/2018 |
Last Update Date | 11/06/2024 |
Medicare PECOS PAC ID | 1355247735 |
---|---|
Medicare Enrollment ID | O20180820001766 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487144697 | NPI | - | NPPES |
322956100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Tara Renee Seleen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932365434 PECOS PAC ID: 6608931514 Enrollment ID: I20090210000139 |
Community Based Residential Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3910 W Burleigh St, Milwaukee, WI 53210 Phone: 414-445-3607 Fax: 414-445-6575 | |
Healing Center Of Milwaukee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 W Forest Home Ave, Milwaukee, WI 53220 Phone: 414-323-3513 | |
Muhammad Akbar Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-365-3210 Fax: 414-365-3225 | |
La Clinica Latina Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1238 S Cesar E Chavez Dr, Milwaukee, WI 53204 Phone: 414-645-6666 Fax: 414-645-6732 | |
Medzone Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7115 W Capitol Dr, Milwaukee, WI 53216 Phone: 414-395-0009 | |
Jeremias B. Vinluan M.d. S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 756 N 35th St, Suite 204, Milwaukee, WI 53208 Phone: 414-342-2606 Fax: 414-342-0789 | |
Romeo C Lo Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 Phone: 414-383-4700 Fax: 414-383-4759 |