Lisa W Bennett
MADISON MEDICAL AFFILIATES INC


Address: 10320 N Port Washington Rd, Mequon, WI 53092-5767
Phone: 2622411919

Lisa W Bennett (NPI# 1619354743, PAC ID# 3375846652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
520027 COLUMBIA ST MARYS HOSPITAL OZAUKEE

Other Locations

Address Phone Organization
10320 N Port Washington Rd, Mequon, WI 53092-5767 2622411919 MADISON MEDICAL AFFILIATES INC

Organization Information

Organization Legal Name MADISON MEDICAL AFFILIATES INC
Physicians 56

Physicians with the same organization

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

Office Location

Street Address 10320 N PORT WASHINGTON RD
City MEQUON
State WI
Zip 53092-5767

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City MEQUON
Zip Code 53092
Specialty OPHTHALMOLOGY
City + Specialty MEQUON + OPHTHALMOLOGY

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Dataset Information

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.

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