Jill M Wagner (NPI# 1699881425, PAC ID# 9830179316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1699881425 |
| PAC ID by PECOS | 9830179316 |
| Professional Enrollment ID | I20040723001127 |
| Full Name | Jill M Wagner |
| Organization Legal Name | WHEATON FRANCISCAN MEDICAL GROUP, INC. |
| Address |
9252 N Green Bay Rd Milwaukee WI 53209-1104 |
| Phone Number | 4145277170 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8628980943 |
| Number of Group Practice Members | 551 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520136 | WHEATON FRANCISCAN ST JOSEPH |
| 520078 | WHEATON FRANCISCAN HEALTHCARE ST FRANCIS |
| Address | Phone | Organization |
|---|---|---|
| 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 | 4145277170 | WHEATON FRANCISCAN MEDICAL GROUP, INC. |
| Organization Legal Name | WHEATON FRANCISCAN MEDICAL GROUP, INC. |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rose Mary Dodd | Nurse Practitioner | Wheaton Franciscan Medical Group, Inc. | 2025 W Oklahoma Ave Su, Suite 102, Milwaukee, WI 53215-4455 |
| Daniel R Robillard | Physician Assistant | Wheaton Franciscan Medical Group, Inc. | 3238 S 16th St, Milwaukee, WI 53215-4535 |
| John S Blackwood | General Surgery | Wheaton Franciscan Medical Group, Inc. | 17000 W N Ave Su, 104w, Brookfield, WI 53005 |
| Janice M Gaeth | Audiologist | Wheaton Franciscan Medical Group, Inc. | 3801 Spring St, Racine, WI 53405-1667 |
| Anne E Stoltenberg | Nurse Practitioner | Wheaton Franciscan Medical Group, Inc. | 3821 Spring St, Racine, WI 53405-1667 |
| Trupti Akella | Hospitalist | Wheaton Franciscan Medical Group, Inc. | 3237 S 16th St, Milwaukee, WI 53215-4526 |
| James Won | Neurology | Wheaton Franciscan Medical Group, Inc. | 3805 B Spring St, Suite 320, Racine, WI 53405-1644 |
| Harry J Lewis | Clinical Social Worker | Wheaton Franciscan Medical Group, Inc. | 5000 W Chambers St, Milwaukee, WI 53210-1650 |
| Josie M Rukamp | Nurse Practitioner | Wheaton Franciscan Medical Group, Inc. | 17000 W N Ave Su, 104w, Brookfield, WI 53005 |
| Corey P Carr | Psychiatry | Wheaton Franciscan Medical Group, Inc. | 13950 W Capitol Dr, Brookfield, WI 53005-2441 |
| Street Address |
9252 N GREEN BAY RD |
| City | MILWAUKEE |
| State | WI |
| Zip | 53209-1104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yuliy M Pershman | Physical Medicine and Rehabilitation | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 |
| Barry K Gimbel | Cardiovascular Disease (cardiology) | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Sean P Ronayne | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Marina L Kropp | Physical Medicine and Rehabilitation | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Kelly A Richards | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Robert Michael Kitsis | Family Medicine | Columbia St. Mary's Hospital Milwaukee, Inc | 9252 N Green Bay Rd, Fl 2, Brown Deer, WI 53209-1104 |
| Heather M Wells-holtey | Dermatology | Columbia St. Mary's Hospital Milwaukee, Inc | 9252 N Green Bay Rd, Fl 2, Brown Deer, WI 53209-1104 |
| Shannon S Muderlak | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Matthew M Richlen | Emergency Medicine | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Amanda N Cooper | Dermatology | Columbia St. Mary's Hospital Milwaukee, Inc | 9252 N Green Bay Rd, Fl 2, Brown Deer, WI 53209-1104 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia E Noonan | Clinical Nurse Specialist | Columbia St. Mary's Hospital Milwaukee, Inc | 9233 N Green Bay Rd, Brown Deer, WI 53209-1103 |
| Galina Bakman | Nurse Practitioner | Columbia St. Mary's Hospital Milwaukee, Inc | 9233 N Green Bay Rd, Brown Deer, WI 53209-1103 |
| Emily M Samuel | Physician Assistant | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 |
| Lindsay Marie Witkowski | Nurse Practitioner | Columbia St. Mary's Hospital Milwaukee, Inc | 9252 N Green Bay Rd, Fl 2, Brown Deer, WI 53209-1104 |
| Lori L Brooks | Physical Medicine and Rehabilitation | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Paul P Hartlaub | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 |
| Jeffrey R Maehl | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Melissa A Walbrandt | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 |
| Nate R Sullivan | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Bryan Lamb | Physical Medicine and Rehabilitation | Ascension Medical Group Southeast Wisconsin Inc | 9252 N Green Bay Rd, Milwaukee, WI 53209-1104 |
| Find all physicians in zip 53209 | |||
| City | MILWAUKEE |
| Zip Code | 53209 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MILWAUKEE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Jill M Wagner.
| 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.