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Dalton Stephen Menke

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2600 N Mayfair Rd Ste 810, Milwaukee, WI 53226-1328

PECOS Enrollment

This provider is enrolled in PECOS as DALTON MENKE.

Based on the most recent information from CMS, provider Dalton Stephen Menke is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1871118174
Provider Type
Individual
Full Name
Menke, Dalton Stephen
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
6/11/2020
Last Updated
11/21/2025

Contact Information

Practice Location

2600 N Mayfair Rd Ste 810, Milwaukee, WI 53226-1328

(414) 771-1122

(414) 771-1352

Mailing Location

801 York St, Manitowoc, WI 54220-4630

(920) 663-9008

(920) 684-1439

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 8117-23 Wisconsin

Dalton Stephen Menke

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Krueger, Kathryn E

Smith, Bente E

Bahrke, Barbara A.

Brzeski, Claire M

Seely, Kyle Burt

Guhl, Lauren A

Bisciglia, Elizabeth

Gioia, Paige F.

Foley, Kaitlyn Nicole

Foley, Patrick R.