Melanie Custer
M.D. | Pediatrics | Female
Melanie Custer, M.D. is a West Bend, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Melanie Custer is
611 Veterans Ave Unit 106, West Bend, Wisconsin - 53090-2559. She can be contacted on phone at
262-353-4460 and fax number 262-353-4461.
Melanie Custer is a sole proprietor of her business.
NPI number (Unique professional ID) for Melanie Custer is
1053686493 which was assigned by NPPES on 19 Mar, 2012 and it was last updated on 09 Feb, 2021.
Melanie Custer license number is
70643-20 for Pediatrics (208000000X) in Wisconsin.
Melanie Custer is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Melanie Custer basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Melanie Custer |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Melanie Custer address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 611 Veterans Ave Unit 106
West Bend, WI, 53090-2559
United States |
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| Phone Number : | 262-353-4460 |
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| Fax Number : | 262-353-4461 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053686493 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Mar, 2012 |
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| Last Updated On : | 09 Feb, 2021 |
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Medicare Participation:
Melanie Custer participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6103231873 |
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| Medicare Enrollment ID : | I20210211001224 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2011 |
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| Accepts Medicare? | Yes. Melanie Custer accepts medicare insurance. |
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Group Practice Association:
Melanie Custer is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Melanie Custer is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Deaconess Clinic Inc | 3375610116 | 327 | 120 Se 4th St
Evansville, IN - 477081607
Ph: 8124266645 | Yes |
| Deaconess Clinic Inc | 3375610116 | 327 | 545 S Boehne Camp Rd
Evansville, IN - 477123703
Ph: 8124291818 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Melanie Custer are as mentioned. Primary taxonomy code for Melanie Custer, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 70643-20 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Melanie Custer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1053686493 | MEDICAID | WI | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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545 S BOEHNE CAMP RD,
EVANSVILLE, IN, 47712-3703
United States | EVANSVILLE, IN | 812-426-9480 |
120 SE 4TH ST,
EVANSVILLE, IN, 47708-1607
United States | EVANSVILLE, IN | 812-426-9480 |
4209 GATEWAY BLVD,
NEWBURGH, IN, 47630-8900
United States | NEWBURGH, IN | 812-842-2800 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 103 Financial Pl, Suite 100
Elizabethtown, KY, 42701-4470
United States |
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| Phone Number : | 270-769-0110 |
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Business Location:
Patients can refer following map for directions to
Melanie Custer practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.