William H Annesley Jr., MD
Individual provider Active NPI Urology Physician · Wauwatosa, WI
NPI 1407899552 · NPPES record last updated Aug 11, 2021
Key facts
- NPI
- 1407899552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 21597 (WI)
- Practice address
- 1547 Upper Pkwy S
Wauwatosa, WI 53213-2435 - Phone
- (414) 254-5610
- Fax
- (414) 755-7576
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mankato Clinic LTD
Ascension Medical Group-Fox Valley Wisconsin, Inc
Beloit Health System Inc
Practice addresses (Care Compare)
1421 Premier Dr
Mankato, MN 56001-6076
Phone (507) 385-4000
1611 S Madison St
Appleton, WI 54915-1844
Phone (920) 738-2000
1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Phone (608) 364-2200
Hospital & facility affiliations
- Ascension NE Wisconsin - St Elizabeth Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050412000569 | WI | Practitioner - Urology | 6002884889 | Reassigns benefits to 4 organizations |
| I20250912003709 | MN | Practitioner - Urology | 6002884889 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current |
Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current |
Accepting new patients | |
| Beloit Health System, Inc | Current |
Accepting new patients | |
| Beloit Health System Inc | Urology | Current |
Accepting new patients |
| The Medical College of Wisconsin, Inc. | Current |
Accepting new patients | |
| Mankato Clinic LTD | Urology | Current |
Accepting new patients |
| Prohealth Medical Group Inc | Past | Accepting new patients | |
| Milwaukee Urology Specialists, SC | Urology | Past | Accepting new patients |
Locations
1421 Premier Dr
Mankato, MN 56001
Phone (507) 385-4000
1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502
1611 S Madison St
Appleton, WI 54915
Phone (920) 727-4395
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510
1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540
201 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 259-7200
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
11211 W Lincoln Ave
West Allis, WI 53227
Phone (414) 454-8300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 21597 | WI | Yes |
Addresses
Primary practice location
1547 Upper Pkwy S
Wauwatosa, WI 53213-2435
Mailing address
1547 Upper Pkwy S
Wauwatosa, WI 53213-2435
Phone (414) 254-5610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30454300 | Medicaid | WI | |
| 1407899552 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | william.annesley@ascension.org | Health Information Exchange (HIE) |
Other providers in Wauwatosa, WI
- Anew Management LLC
- Abby Marie Angelroth
- Mohammad Imran Anjum
- Jordyn Paige Anklam
- Ann O'Neil, D.D.S.,S.C.
- Renato B. Anonuevo Jr.
- Anthony D Meyer MD SC
- Brittany Ann Anthony
- Apps Chiropractic and Wellness Center Inc
- William Ernest Sylvanus Apps
All providers in Wauwatosa, WI · Urology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.