MEDICARE: IDOC WISCONSIN TELEHEALTH SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13078	OTHER	WI	LICENSE NUMBER

General Provider Information

NPI Number	:	1952199275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IDOC WISCONSIN TELEHEALTH SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4635 SOUTHWEST FWY STE 525
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-7157
Country	:	US
Telephone Number	:	818-378-9549
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 N JEFFERSON ST STE 408
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-3875
Country	:	US
Telephone Number	:	818-378-9549
Fax Number	:	877-712-5707

Authorized Official
Title or Position	:	MBA
Name	:	NATALYA MELNIC
Credential	:
Telephone Number	:	818-378-9549

Provider Enumeration Date	:	04/28/2025
Last Update Date	:	04/28/2025

Similar Medicare Providers

1447105978 — SCOTT FITZGERALD FERGUSON SR.
Practice Location Address:

777 N JEFFERSON ST STE 408
MILWAUKEE, WI
53202-3875

Practice Phone: 414-208-0680
Practice Fax:

1295545762 — KATHRYN ELIZABETH SEMENAK LCSW, SAC-IT
Practice Location Address:

777 N JEFFERSON ST STE 408
MILWAUKEE, WI
53202-3875

Practice Phone: 414-207-6425
Practice Fax:

1194674523 — REGULATE & RESTORE THERAPY LLC
Practice Location Address:

777 N JEFFERSON ST STE , SUITE 408 PMB1158
MILWAUKEE, WI
53202-3875

Practice Phone: 262-228-4864
Practice Fax:

1154270676 — PERRISA VANLANDINGHAM CNA, CDCP
Practice Location Address:

777 N JEFFERSON ST STE 408
MILWAUKEE, WI
53202-3875

Practice Phone: 888-248-5548
Practice Fax:

1396146171 — WISCONSIN VISION, LLC
Practice Location Address:

301 N WATER ST , SUITE 350
MILWAUKEE, WI
53202-5710

Practice Phone: 414-539-3524
Practice Fax: 262-923-7607

1700581048 — ALIMATOU TRAORE DNP-FNP
Practice Location Address:

302 N JACKSON ST
MILWAUKEE, WI
53202-5904

Practice Phone: 844-493-1052
Practice Fax:

Directions to “IDOC WISCONSIN TELEHEALTH SOLUTIONS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.