Deidre L Faust (NPI# 1154372092, PAC ID# 2466443627) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1154372092 |
| PAC ID by PECOS | 2466443627 |
| Professional Enrollment ID | I20040518001377 |
| Full Name | Deidre L Faust |
| Organization Legal Name | MADISON MEDICAL AFFILIATES INC |
| Address |
13133 N Port Washington Rd Suite G 18 Mequon WI 53097-2420 |
| Phone Number | 2622435000 |
| Gender | F |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991606337 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520027 | COLUMBIA ST MARYS HOSPITAL OZAUKEE |
| 520051 | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| 520207 | AURORA MEDICAL CENTER - GRAFTON |
| 520177 | FROEDTERT MEMORIAL LUTHERAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13133 N Port Washington Rd, Suite G 18, Mequon, WI 53097-2420 | 2622435000 | MADISON MEDICAL AFFILIATES INC |
| Organization Legal Name | MADISON MEDICAL AFFILIATES INC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela K Kraus | Nurse Practitioner | Madison Medical Affiliates Inc | 2350 N Lake Dr, Suite 302, Milwaukee, WI 53211-4528 |
| Camile L Hexsel Folk | Dermatology | Madison Medical Affiliates Inc | 22370 W Bluemound Rd, Suite 200, Waukesha, WI 53186-1683 |
| Unchu Ko | Internal Medicine | Madison Medical Affiliates Inc | 788 N Jefferson St, Suite 300, Milwaukee, WI 53202-3710 |
| Martha F Jay | Ophthalmology | Madison Medical Affiliates Inc | 10320 N Port Washington Rd, Mequon, WI 53092-5767 |
| Thomas D Bloom | Ophthalmology | Madison Medical Affiliates Inc | 5150 N Port Washington Rd, Suite 251, Milwaukee, WI 53217-5477 |
| Kirby K Hancock | Physician Assistant | Madison Medical Affiliates Inc | 788 N Jefferson St, Suite 401, Milwaukee, WI 53202-3718 |
| Abraham Varghese | Internal Medicine | Madison Medical Affiliates Inc | 788 N Jefferson St, Suite 401, Milwaukee, WI 53202-3718 |
| Scott A Jorgensen | Internal Medicine | Madison Medical Affiliates Inc | 13133 N Port Washington Rd, Suite G 18, Mequon, WI 53097-2420 |
| Kathleen Baugrud | Internal Medicine | Madison Medical Affiliates Inc | 788 N Jefferson St, Suite 300, Milwaukee, WI 53202-3710 |
| Valerie B Lyon | Dermatology | Madison Medical Affiliates Inc | 375 W River Woods Pkwy, Suite 116, Glendale, WI 53212-1080 |
| Street Address |
13133 N PORT WASHINGTON RD SUITE G 18 |
| City | MEQUON |
| State | WI |
| Zip | 53097-2420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott A Jorgensen | Internal Medicine | Madison Medical Affiliates Inc | 13133 N Port Washington Rd, Suite G 18, Mequon, WI 53097-2420 |
| John G Sanidas | Internal Medicine | Madison Medical Affiliates Inc | 13133 N Port Washington Rd, Suite G 18, Mequon, WI 53097-2420 |
| Jay S Balachandran | Pulmonary Disease | Madison Medical Affiliates Inc | 13133 N Port Washington Rd, Suite 104, Mequon, WI 53097-2422 |
| Kawaljeet Kaur | Endocrinology | Madison Medical Affiliates Inc | 13133 N Port Washington Rd, Suite G 18, Mequon, WI 53097-2420 |
| David P Lucke | Internal Medicine | Madison Medical Affiliates Inc | 13133 N Port Washington Rd, Suite G 18, Mequon, WI 53097-2420 |
| Ali O Artar | Sleep Medicine | The Sleep Wellness Institute Inc | 13133 N Port Washington Rd, Suite 104 Room 1 and 2, Mequon, WI 53097-2422 |
| Patrick M Schroeder | Physician Assistant | Madison Medical Affiliates Inc | 13133 N Port Washington Rd, Mequon, WI 53097-2420 |
| Ali Mahdavi | Gynecological Oncology | Columbia St Mary's Hospital Ozaukee, Inc. | 13133 N Port Washington Rd, Suite 118, Mequon, WI 53097-2422 |
| Rachel D Oosterbaan | Internal Medicine | Madison Medical Affiliates Inc | 13133 N Port Washington Rd, Suite G 18, Mequon, WI 53097-2420 |
| Joseph P Regan | General Surgery | Madison Medical Affiliates Inc | 13133 N Port Washington Rd, Suite 224, Mequon, WI 53097-2420 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn J Becker | Psychologist, Clinical | Becker-gibeau Psychological Services LLC | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 |
| Brian M Fidlin | Psychologist, Clinical | 14135 N Cedarburg Rd, Suite 1, Mequon, WI 53097-1416 | |
| Laura G Brewer | Psychologist, Clinical | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | |
| Kelly K Duggan | Psychologist, Clinical | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | |
| Paul M Gibeau | Psychologist, Clinical | Becker-gibeau Psychological Services LLC | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 |
| Jodi Allison Brin | Psychologist, Clinical | 14135 N Cedarburg Rd, Mequon, WI 53097-1416 | |
| Andrea Phyliis Janis-towey | Psychologist, Clinical | 14135 N Cedarburg Rd, Suite 1, Mequon, WI 53097-1416 | |
| Heather A Byrne | Psychologist, Clinical | 14135 N Cedarburg Rd, Suite 203, Mequon, WI 53097-1416 | |
| Henry J Schnitzler | Family Medicine | Columbia St Mary's Hospital Ozaukee, Inc. | 12800 N Port Washington Rd, Mequon, WI 53097-2415 |
| Peter D Leo | Psychologist, Clinical | Columbia St Mary's Hospital Ozaukee, Inc. | 12800 N Port Washington Rd, Mequon, WI 53097-2415 |
| Find all physicians in zip 53097 | |||
| City | MEQUON |
| Zip Code | 53097 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MEQUON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Deidre L Faust.
| 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.