Mexton M Deacon, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

949-25 Issued in WI

Practice address

1626 W Fond Du Lac Ave
Ste 111
Milwaukee, WI 53205-1228

Phone

(414) 326-9034

Fax

(414) 763-2305

NPI assigned

Oct 10, 2007

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yomex LLCGroup PAC ID 5193910131, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yomex LLC

  dba Milwaukee Advanced Foot & Ankle Clinic

  • Podiatric Clinic/Center
  • Milwaukee, WI
  • NPI 1295042711

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Yomex LLC

  dba Milwaukee Advanced Foot & Ankle Clinic

  • Podiatrist
  • Milwaukee, WI
  • NPI 1194123513

  Foot & Ankle Surgery

  NPD Authorized official
• Luma Healthcare, Inc

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1972861623
  NPD
• Medical Genetics Institute, S.C.

  • Ph.D. Medical Genetics
  • Glendale, WI
  • NPI 1437319142
  NPD
• Dr. Charles Carton Jr., SC

  • Durable Medical Equipment & Medical Supplies
  • Milwaukee, WI
  • NPI 1770766487
  NPD (past)
• Advanced Foot Care Clinic,LTD

  dba Advanced Foot & Ankle Care

  • Podiatrist
  • Minneapolis, MN
  • NPI 1053438648
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension SE Wisconsin Hospital, Inc

  dba Ascension SE Wisconsin Hospital-Elmbrook Campus

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1427007384
  Care Compare affiliation
• Ascension SE Wisconsin Hospital, Inc

  dba Ascension SE Wisconsin Hospital-Elmbrook Campus

  • Rehabilitation Hospital Unit
  • Brookfield, WI
  • NPI 1861417362
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1811185283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 W FOND DU LAC AVE",
            "address_2": "STE 111",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051228",
            "telephone_number": "414-326-9034",
            "fax_number": "414-763-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 W FOND DU LAC AVE",
            "address_2": "STE 111",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051228",
            "telephone_number": "414-326-9034",
            "fax_number": "414-763-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEACON",
        "first_name": "MEXTON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "949-25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000751",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priyankar De, MS
• Michele Ann De'Brabant, RN BSN
• Adella S Deacon, PT
• Albojay Deacon
• Laura Deacon
• Santana Rohan Deacon, MPT
• Deaconess Home Health, Inc.
• Loniqua Kilondra Deadwyler
• Paulette Dean-Pierce, MS
• Ashanti Dean, CNM

• Foot & Ankle Surgery Podiatrist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Foot & Ankle Surgery Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.