Oral Surgery Associates of Milwaukee SC
A Medicare group practice based in Oak Creek, WI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 9032007091), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9032007091
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- WI
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040310000440 | WI | Part B Supplier - Clinic/Group Practice | 1477647832 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Oral Surgery Associates of Milwaukee SC
- Oral and Maxillofacial Surgery (Dentist)
- Mequon, WI
- NPI 1477647832
-
Oral Surgery Associates of Milwaukee
- Oral and Maxillofacial Surgery (Dentist)
- Wauwatosa, WI
- NPI 1720172992
-
Oral Surgery Associates of Milwaukee SC
- Oral and Maxillofacial Surgery (Dentist)
- Oak Creek, WI
- NPI 1780850263
Practice locations
- Wauwatosa, WI1
- Mequon, WI1
- Oak Creek, WI1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (2).
-
Brian Rezel Carr, DMD MD
- Oral and Maxillofacial Surgery (Dentist)
- Oak Creek, WI
- NPI 1093270217
-
Alan A Kimmel, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Mequon, WI
- NPI 1760576128
-
Mark J Kortebein, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Mequon, WI
- NPI 1336233790
-
Peter Louis Wagner, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Mequon, WI
- NPI 1548356280
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.