Jessica Maeve Buchberger, D.O.
Individual provider Active NPI Family Medicine Physician · New Berlin, WI
NPI 1821483538 · NPPES record last updated Oct 10, 2018
Key facts
- NPI
- 1821483538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 66106-21 (WI)
- Practice address
- 13900 W National Ave
New Berlin, WI 53151-9515 - Phone
- (262) 928-4500
- NPI assigned
- Mar 30, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prohealth Medical Group Inc
Practice addresses (Care Compare)
13900 W National Ave
New Berlin, WI 53151-9515
Phone (262) 928-4500
Hospital & facility affiliations
- Prohealth Home Care
- Aurora at Home
- Waukesha Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
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 |
|---|---|---|---|---|
| I20180831000017 | WI | Practitioner - Family Practice | 2769756055 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66106-21 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc. | Family Medicine | Current |
Accepting new patients |
| Prohealth Medical Group Inc | Family Medicine | Past | Accepting new patients |
Locations
13900 W National Ave
New Berlin, WI 53151
Phone (262) 928-4500
N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
Interoperability endpoints
- jbuchberger58240@direct.phci.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 66106-21 | WI | Yes |
Addresses
Primary practice location
13900 W National Ave
New Berlin, WI 53151-9515
Mailing address
13900 W National Ave
New Berlin, WI 53151-9515
Phone (262) 928-4500
Other providers in New Berlin, WI
- Nicole L Brueck
- Bryant Homes, LLC.
- Elizabeth Anne Brzycki
- Megan L Bucaro
- Timothy George Buchanan
- Neal Robert Bucholtz
- Jenny Bucholz
- Kelly Buetow
- Anna Bujak
- Marcelle Bullard
All providers in New Berlin, 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 Oct 10, 2018. 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.