Robert R Liedtke (NPI# 1780657353, PAC ID# 0648182204) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1780657353 |
| PAC ID by PECOS | 0648182204 |
| Professional Enrollment ID | I20100219000713 |
| Full Name | Robert R Liedtke |
| Organization Legal Name | BLUESTONE PHYSICIAN SERVICES WISCONSIN SC |
| Address |
342 N Water St Suite 600 Milwaukee WI 53202-5715 |
| Phone Number | 6513421039 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 7719296789 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520008 | WAUKESHA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 | 6513421039 | BLUESTONE PHYSICIAN SERVICES WISCONSIN SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 80% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 80% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 3% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 3% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 96% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 96% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 83% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 83% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 38% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 38% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 18% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 18% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 40% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 40% | |
| MIPS_EC_047_overall | Care Plan | 99% | |
| MIPS_EC_047_overall | Care Plan | 99% |
| Organization Legal Name | BLUESTONE PHYSICIAN SERVICES WISCONSIN SC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Elizabeth Tomaszewski | Nurse Practitioner | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Carrie Fitzsimmons | Nurse Practitioner | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Terri A Wichgers | Physician Assistant | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Allison Fiedler | Nurse Practitioner | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Kelly L Brendel | Nurse Practitioner | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Michelene Larrabee | Physician Assistant | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Zheng Hao Wu | Internal Medicine | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Nicole M Papermaster | Physician Assistant | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Elinor Bruders | Nurse Practitioner | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Emily N Moon | Nurse Practitioner | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Street Address |
342 N WATER ST SUITE 600 |
| City | MILWAUKEE |
| State | WI |
| Zip | 53202-5715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Elizabeth Tomaszewski | Nurse Practitioner | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Carrie Fitzsimmons | Nurse Practitioner | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Terri A Wichgers | Physician Assistant | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Jacob M Behrens | Psychiatry | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 | |
| Allison Fiedler | Nurse Practitioner | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Kelly L Brendel | Nurse Practitioner | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Michelene Larrabee | Physician Assistant | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Zheng Hao Wu | Internal Medicine | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Nicole M Papermaster | Physician Assistant | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Elinor Bruders | Nurse Practitioner | Bluestone Physician Services Wisconsin Sc | 342 N Water St, Suite 600, Milwaukee, WI 53202-5715 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Spencer Michael Kronz | Chiropractic | 1726 E N Ave, Milwaukee, WI 53202-1037 | |
| Kashif Saeed | Physical Medicine and Rehabilitation | Integrated Rehab Consultants LLC | 2115 E Woodstock Pl, Milwaukee, WI 53202-1342 |
| Kim A Heim | Nurse Practitioner | Behavioral Solutions Inc | 2115 E Woodstock Pl, Milwaukee, WI 53202-1342 |
| Stacy L Simenz | Nurse Practitioner | Behavioral Solutions Inc | 2115 E Woodstock Pl, Milwaukee, WI 53202-1342 |
| Mark G Eberhage | Psychologist, Clinical | Behavioral Solutions Inc | 2115 E Woodstock Pl, Milwaukee, WI 53202-1342 |
| Dori A Bischmann | Psychologist, Clinical | Behavioral Solutions Inc | 2115 E Woodstock Pl, Milwaukee, WI 53202-1342 |
| Barbara A Berte | Nurse Practitioner | Behavioral Solutions Inc | 2115 E Woodstock Pl, Milwaukee, WI 53202-1342 |
| Joe W Hatcher | Psychologist, Clinical | Behavioral Solutions Inc | 2115 E Woodstock Pl, Milwaukee, WI 53202-1342 |
| Heidi Heimler | Psychologist, Clinical | Behavioral Solutions Inc | 2115 E Woodstock Pl, Milwaukee, WI 53202-1342 |
| John C Lamberton | Psychiatry | Lamberton Psychiatry LLC | 2025 N Summit Ave, Suite 107, Milwaukee, WI 53202-1362 |
| Find all physicians in zip 53202 | |||
| City | MILWAUKEE |
| Zip Code | 53202 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MILWAUKEE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert R Liedtke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.