Beverly J Ricker, MD | |
5300 Memorial Dr, Two Rivers, WI 54241 | |
(429) 075-9853 | |
Not Available |
Full Name | Beverly J Ricker |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 5300 Memorial Dr, Two Rivers, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164476180 | NPI | - | NPPES |
25404 | Other | ND | NDBS # |
32019300 | Medicaid | WI | |
40858 | Other | ND | LHS/BANNERHEALTH # |
1203228 | Other | ND | MEDICA # |
13381 | Medicaid | ND | |
647218400 | Medicaid | ND | |
972S1RI | Other | ND | MNBS # |
DA9061008851 | Other | ND | PREFERRED ONE # |
972S3RI | Other | ND | MNBS # |
972S2RI | Other | ND | MNBS # |
24202 | Other | ND | AMERICA'S PPO/ARAZ # |
972S0RI | Other | ND | MNBS # |
108971 | Other | ND | UCARE # |
1203229 | Other | ND | MEDICA # |
25406 | Other | ND | NDBS # |
1203226 | Other | ND | MEDICA # |
1203227 | Other | ND | MEDICA # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 9937 (North Dakota) | Secondary |
208000000X | Pediatrics | 33359 (Wisconsin) | Primary |
Entity Name | Emergency Medicine Associates Pa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20070919000389 |
Mailing Address | Practice Location Address |
---|---|
Beverly J Ricker, MD 5300 Memorial Dr, Two Rivers, WI 54241-3923 Ph: (429) 075-9853 | Beverly J Ricker, MD 5300 Memorial Dr, Two Rivers, WI 54241 Ph: (429) 075-9853 |
Angela Katsma, Pediatrics Medicare: Medicare Enrolled Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7337 Fax: 920-793-6589 | |
Dr. Ali A Mir, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2219 Garfield St, Two Rivers, WI 54241 Phone: 920-793-2281 Fax: 920-793-3669 | |
Jennifer Renee Cappelle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7300 |