Acu-Med Integrative Medicine LLC

Organization Active NPI Family Medicine Physician · Waukesha, WI

NPI 1326440959 · NPPES record last updated Jun 13, 2016

Key facts

NPI
1326440959
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ACU-MED INTEGRATIVE MEDICINE LLC
Practice address
1428 E Racine Ave
Waukesha, WI 53186-6462
Phone
(262) 832-8888
Fax
(262) 806-0028
NPI assigned
Sep 26, 2014
Organization subpart
No

Authorized official

Name
Xuefen Rex
Title
Manager
Phone
(262) 832-8888

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20141229001408 WI Part B Supplier - Clinic/Group Practice 5193048064 Receives reassigned benefits from 1 practitioner
Practice locations: Waukesha, WI

National Provider Directory

Locations

1428 E Racine Ave
Waukesha, WI 53186
Phone (262) 542-8221

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

1428 E Racine Ave
Waukesha, WI 53186-6462

Mailing address

1428 E Racine Ave
Waukesha, WI 53186-6462
Phone (262) 832-8888

Other names

  • ACUPUNCTURE AND CHINESE MEDICAL CENTER LLC Former legal business name

Other providers in Waukesha, WI

All providers in Waukesha, WI · Family Medicine Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.