Tristan Robert Begotka (NPI# 1114369063, PAC ID# 9830323104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1114369063 |
PAC ID by PECOS | 9830323104 |
Professional Enrollment ID | I20130930000402 |
Full Name | Tristan Robert Begotka |
Address |
4014 77th St Kenosha WI 53142-4314 |
Gender | M |
Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
Graduation Year | 2013 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
4014 77th St, Kenosha, WI 53142-4314 |
Street Address |
4014 77TH ST |
City | KENOSHA |
State | WI |
Zip | 53142-4314 |
Name | Specialty | Organization | Address |
---|---|---|---|
Walter R Wiesztort | Chiropractic | 4014 77th St, Suite 2, Kenosha, WI 53142-4314 |
Name | Specialty | Organization | Address |
---|---|---|---|
Randall J Hammett | Chiropractic | 6500 67th St, Kenosha, WI 53142-1403 | |
Laurie Sasso | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 6300 67th St, Kenosha, WI 53142-1437 |
Rodrigo B Mata Iii | Internal Medicine | 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927 | |
Nancy Guadagno | Clinical Social Worker | 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927 | |
Shellie Kaye Babcock | Clinical Social Worker | 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927 | |
Chad E Sloden | Chiropractic | Sports and Family Chiropractic LLC | 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 |
Nicholas Joseph Hollendonner | Chiropractic | Sports and Family Chiropractic LLC | 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 |
Pushparanee Babusukumar | Psychiatry | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
Tom A Defrancesco | Clinical Social Worker | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
Donna J Hayes | Podiatry | 6125 Green Bay Rd, Suite 600, Kenosha, WI 53142-2928 | |
Find all physicians in zip 53142 |
City | KENOSHA |
Zip Code | 53142 |
Specialty | OPTOMETRY |
City + Specialty | KENOSHA + OPTOMETRY |
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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.