Lisa W Bennett (NPI# 1619354743, PAC ID# 3375846652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1619354743 |
PAC ID by PECOS | 3375846652 |
Professional Enrollment ID | I20190819002200 |
Full Name | Lisa W Bennett |
Organization Legal Name | MADISON MEDICAL AFFILIATES INC |
Address |
10320 N Port Washington Rd Mequon WI 53092-5767 |
Phone Number | 2622411919 |
Gender | F |
Graduation Year | 2015 |
Primary Specialty | OPHTHALMOLOGY |
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 |
Address | Phone | Organization |
---|---|---|
10320 N Port Washington Rd, Mequon, WI 53092-5767 | 2622411919 | 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 |
Deidre L Faust | Internal Medicine | Madison Medical Affiliates Inc | 13133 N Port Washington Rd, Suite G 18, Mequon, WI 53097-2420 |
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 |
Street Address |
10320 N PORT WASHINGTON RD |
City | MEQUON |
State | WI |
Zip | 53092-5767 |
Name | Specialty | Organization | Address |
---|---|---|---|
Martha F Jay | Ophthalmology | Madison Medical Affiliates Inc | 10320 N Port Washington Rd, Mequon, WI 53092-5767 |
Mark Edward German | Optometry | Lakeshore Eye Care Professionals, Sc | 10320 N Port Washington Rd, Mequon, WI 53092-5767 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bruce C Herman | Internal Medicine | 407 N Main St, Thiensville, WI 53092-1212 | |
Therese A Jaeckle | Nurse Practitioner | 136 N Main St, Suite 304, Thiensville, WI 53092-1606 | |
Gary S Lewis | Family Medicine | Independent Physicians of Wisconsin LLC | 136 N Main St, Suite 201, Thiensville, WI 53092-1606 |
Maria P Fenske | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
James R Shelstad | Chiropractic | Prohealth Chiropractic Center Sc | 136 N Main St, Suite 202, Thiensville, WI 53092-1606 |
Sarah J Krueger | Psychologist, Clinical | 216 N Green Bay Ave, Suite 108, Thiensville, WI 53092-1625 | |
Sharon K Thurow | Nurse Practitioner | 216 Green Bay Rd, Suite 101, Thiensville, WI 53092-1625 | |
Lynn M Fitzsimmons | Psychologist, Clinical | 216 Green Bay Rd, Suite 108, Thiensville, WI 53092-1625 | |
David B Tick | Internal Medicine | 216 Green Bay Rd, Thiensville, WI 53092-1658 | |
Krista M Dyreson | Family Medicine | Aurora Advanced Healthcare Inc | 6425 W Mequon Rd, Mequon, WI 53092-1855 |
Find all physicians in zip 53092 |
City | MEQUON |
Zip Code | 53092 |
Specialty | OPHTHALMOLOGY |
City + Specialty | MEQUON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Lisa W Bennett.
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.