Wesley Lafferty, MD
Individual provider Active NPI Family Medicine Physician · Milwaukee, WI
NPI 1598845646 · NPPES record last updated May 26, 2011
Key facts
- NPI
- 1598845646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 44268 (WI)
- Practice address
- 2320 N Lake Dr
Room 3603
Milwaukee, WI 53211-4507 - Phone
- (414) 270-4932
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia St Marys Hospital Milwaukee Inc
Ascension Medical Group-Southeast Wisconsin Inc
Practice addresses (Care Compare)
13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300
2301 N Lake Dr
Milwaukee, WI 53211-4508
2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000
6900 N Port Washington Rd
Milwaukee, WI 53217-3921
Phone (414) 270-8100
Hospital & facility affiliations
- Horizon Homecare and Hospice
- Ascension Columbia St Marys Hospital Milwaukee
- Ascension SE Wisconsin Hospital
- Ascension Sacred Heart Rehabilitation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20040513001301 | WI | Practitioner - Family Practice | 5294725065 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee Inc | Current |
Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Family Medicine | Current | Accepting new patients |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current |
Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Family Medicine | Past | Accepting new patients |
Locations
4425 N Port Washington Rd
Glendale, WI 53212
Phone (414) 326-2218
6900 N Port Washington Rd
Glendale, WI 53217
Phone (414) 270-8100
2025 E Newport Ave
Milwaukee, WI 53211
Phone (414) 298-6700
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
2320 N Lake Dr
Rm 3603
Milwaukee, WI 53211
Phone (414) 270-4932
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44268 | WI | Yes |
Addresses
Primary practice location
2320 N Lake Dr
Room 3603
Milwaukee, WI 53211-4507
Mailing address
4425 N Port Washington Rd
Attn: Clinic Credentialing
Glendale, WI 53212-1082
Phone (414) 270-4932
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34377200 | Medicaid | WI |
Other providers in Milwaukee, WI
- Abigail Lading
- John Ladisa
- Daniel A. Ladwig
- Renee Joanne Ladwig
- Amanda Lynn Laedtke
- Ryan Christopher Laffin
- Sarah P Lafollette
- Michelle Laga
- Joanne Marie Lagatta
- Bradley Joseph Lagemann
All providers in Milwaukee, WI · Family Medicine 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 May 26, 2011. 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.