West Grove Clinic, Llc - Medicare Primary Care in Wauwatosa, WI

West Grove Clinic, Llc is a medicare enrolled primary clinic (Clinic/center) in Wauwatosa, Wisconsin. The current practice location for West Grove Clinic, Llc is 10012 W. Capitol Dr. #101, Wauwatosa, Wisconsin. For appointments, you can reach them via phone at (414) 810-4844. The mailing address for West Grove Clinic, Llc is 10012 W. Capitol Dr #101, Wauwatosa, Wisconsin and phone number is (414) 810-4844.

West Grove Clinic, Llc is licensed to practice in Wisconsin (license number 2318). The clinic also participates in the medicare program and its NPI number is 1518167477. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (414) 810-4844.

Contact Information

West Grove Clinic, Llc
10012 W. Capitol Dr. #101
Wauwatosa
WI 53222-1300
(414) 810-4844
(414) 810-4845

Primary Care Clinic Profile

Full NameWest Grove Clinic, Llc
SpecialityClinic/Center
Location10012 W. Capitol Dr. #101, Wauwatosa, Wisconsin
Authorized Official Name and PositionSelahattin S. Kurter (EXECUTIVE DIRECTOR)
Authorized Official Contact4148104844
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
West Grove Clinic, Llc
10012 W. Capitol Dr #101
Wauwatosa
WI 53222-1300

Ph: (414) 810-4844
West Grove Clinic, Llc
10012 W. Capitol Dr. #101
Wauwatosa
WI 53222-1300

Ph: (414) 810-4844

NPI Details:

NPI Number1518167477
Provider Enumeration Date07/19/2007
Last Update Date12/29/2014

Medicare PECOS Information:

Medicare PECOS PAC ID2264476688
Medicare Enrollment IDO20050616000721

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Medical Identifiers

Medical identifiers for West Grove Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518167477NPI-NPPES
42229100MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 2318 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. West Grove Clinic, Llc acts as a billing entity for following providers:
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PECOS PAC ID: 7113930629
Enrollment ID: I20060731000396

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Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811188964
PECOS PAC ID: 0345335311
Enrollment ID: I20071005000221

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Provider NameAriella M Danowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265887038
PECOS PAC ID: 6507155579
Enrollment ID: I20160513001238

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Provider NameSelahattin Said Kurter
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1164596615
PECOS PAC ID: 6709891047
Enrollment ID: I20210122000097

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Provider NameAbigail Czarnecki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124783006
PECOS PAC ID: 0749623049
Enrollment ID: I20240202002966

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Provider NameKurt Peterson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1902241888
PECOS PAC ID: 6406299973
Enrollment ID: I20240212003172

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Provider NameElizabeth Ann Mueller
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1780169433
PECOS PAC ID: 9638514797
Enrollment ID: I20240228001814

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Provider NameSavannah Marie Muench
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1477152221
PECOS PAC ID: 9931544012
Enrollment ID: I20240228002803

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PECOS PAC ID: 2567807654
Enrollment ID: I20240228002884

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Provider TypePractitioner - Mental Health Counselor
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PECOS PAC ID: 7618312752
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Provider NameMeredith Robbins
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1407480619
PECOS PAC ID: 3779928544
Enrollment ID: I20240302000526

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Provider NameJulianne Witthuhn
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1760649479
PECOS PAC ID: 0042655847
Enrollment ID: I20240304000492

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Provider NameJaimie Hauch
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1881936490
PECOS PAC ID: 0547605214
Enrollment ID: I20240304003373

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Clinic/Center in Wauwatosa, WI

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Medicare: Not Enrolled in Medicare
Practice Location: 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222
Phone: 414-219-9420    Fax: 414-909-8674
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Medicare: Not Enrolled in Medicare
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Medicare: Medicare Enrolled
Practice Location: 10625 W North Ave Ste 326, Wauwatosa, WI 53226
Phone: 414-771-0500    Fax: 414-771-0363
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Medicare: Not Enrolled in Medicare
Practice Location: 2949 N Mayfair Rd Ste 300, Wauwatosa, WI 53222
Phone: 414-454-6000    Fax: 414-454-6420
Numale Medical Center Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2600 N Mayfair Rd, Suite 505, Wauwatosa, WI 53226
Phone: 414-727-8380    Fax: 414-727-8555
Family Practice Clinic Of Mayfair Sc
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Medicare: Medicare Enrolled
Practice Location: 11803 W North Ave, Wauwatosa, WI 53226
Phone: 414-258-5522    Fax: 414-258-1337
Cmm Sundaram Md Sc
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Medicare: Not Enrolled in Medicare
Practice Location: 2600 N Mayfair Rd, Suite 670, Wauwatosa, WI 53226
Phone: 414-933-9851    

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