Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Prescriptions Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
2457 N MAYFAIR RD SUITE 101
WAUWATOSA, WI 53226-1405 US
PECOS Enrolled

Carleen Linda Schmidt

Dentist


Carleen Linda Schmidt

Overview

Carleen Linda Schmidt is a Dentist in the WAUWATOSA area. Carleen Linda Schmidt primary office location is at 2457 N MAYFAIR RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205848173 and the information was updated approximately 17 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
2457 N MAYFAIR RD SUITE 101
WAUWATOSA, WI 53226-1405 US
Phone: (414)-774-7550
Fax:
Practice Mailing Information
2457 N MAYFAIR RD
WAUWATOSA, WI 53226-1405 US
Phone: (414)-774-7550
Fax: (414)-774-3260
License NumberState
3970-015WI
Type/IssuerIdentifierState
MEDICAID7682WI
MEDICAID33682200WI
TaxonomyStatePrimary?
Dentist - Taxonomy Code 122300000X WIY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) -
Eligible to order/refer Power Mobility Devices (PMD) -