Heidi C Bertram (NPI# 1528011319, PAC ID# 1557513066) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1528011319 |
| PAC ID by PECOS | 1557513066 |
| Professional Enrollment ID | I20121208000024 |
| Full Name | Heidi C Bertram |
| Organization Legal Name | AMERIPATH MILWAUKEE SC |
| Address |
2817 New Pinery Rd Portage WI 53901-9257 |
| Phone Number | 6087424131 |
| Gender | F |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 5799677639 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520076 | BEAVER DAM COMMUNITY HOSPITAL |
| 520041 | DIVINE SAVIOR HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 707 S University Ave, Beaver Dam, WI 53916-3027 | 9208877181 | AMERIPATH MILWAUKEE SC |
| 2817 New Pinery Rd, Portage, WI 53901-9257 | 6087424131 | AMERIPATH MILWAUKEE SC |
| 506 E State Pkwy, Suite A, Schaumburg, IL 60173-4538 | 4147322577 | AMERIPATH MILWAUKEE SC |
| Organization Legal Name | AMERIPATH MILWAUKEE SC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne E Hryciuk | Pathology | Ameripath Milwaukee Sc | 12805 W Burleigh Rd, Brookfield, WI 53005-3111 |
| Laeekha A Ali | Pathology | Ameripath Milwaukee Sc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Scott W Kelley | Dermatology | Ameripath Milwaukee Sc | 5000 W Chambers St, Milwaukee, WI 53210-1650 |
| Winston N Hollister | Pathology | Ameripath Milwaukee Sc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Michael A Schulte | Pathology | Ameripath Milwaukee Sc | 5000 W Chambers St, Milwaukee, WI 53210-1650 |
| Ann M Dayer | Pathology | Ameripath Milwaukee Sc | 5000 W Chambers St, Milwaukee, WI 53210-1650 |
| Street Address |
2817 NEW PINERY RD |
| City | PORTAGE |
| State | WI |
| Zip | 53901-9257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly R Toijala | Physician Assistant | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Michael C Walters | Emergency Medicine | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Philip Richard Albert | Diagnostic Radiology | Portage Radiology, Sc | 2817 New Pinery Rd, Divine Savior Hospital, Portage, WI 53901-9296 |
| Kari J Heyn | Certified Registered Nurse Anesthetist (crna) | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Vickie J Woelfel | Nurse Practitioner | Apogee Medical Group Wisconsin Sc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Kelly M Beier | Physician Assistant | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Matthew G Rajala | Physician Assistant | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Stephen Murphy | Podiatry | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Joe R Peterson | Physician Assistant | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Melissa Shannon Faubert | Family Medicine | Divine Savior Healthcare Inc | 2817 New Pinery Rd, Portage, WI 53901-9240 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam Joseph Lubner | Medical Oncology | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
| Titus L Dutcher | Family Medicine | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
| Jamie J Kling | Family Medicine | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
| Trisha Lynn Mccormick | Family Medicine | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
| Brie Strook | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
| Tripti Singh | Nephrology | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
| Hema Patel | Family Medicine | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
| Timothy A Mical Deering | Family Medicine | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
| Jessica Young | Internal Medicine | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
| Jon S Matsumura | Vascular Surgery | University of Wisconsin Medical Foundation Inc | 2977 County Hwy Cx, Portage, WI 53901 |
| Find all physicians in zip 53901 | |||
| City | PORTAGE |
| Zip Code | 53901 |
| Specialty | PATHOLOGY |
| City + Specialty | PORTAGE + PATHOLOGY |
Please comment or provide details below to improve the information on Heidi C Bertram.
| 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.