Bradley Gietman, | |
923 Eliza St, Green Bay, WI 54301-3234 | |
(920) 965-4800 | |
Not Available |
Full Name | Bradley Gietman |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 7 Years |
Location | 923 Eliza St, Green Bay, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477088284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 70344-20 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bellin Memorial Hospital | Green bay, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bellin Memorial Hospital Inc | 8820900749 | 533 |
Entity Name | Bellin Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
Mailing Address | Practice Location Address |
---|---|
Bradley Gietman, 923 Eliza St, Green Bay, WI 54301-3234 Ph: () - | Bradley Gietman, 923 Eliza St, Green Bay, WI 54301-3234 Ph: (920) 965-4800 |
Dr. Andrew John Vanbruggen, DO Otolaryngology Medicare: Medicare Enrolled Practice Location: 2654 S Oneida St Stop 102, Green Bay, WI 54304 Phone: 888-938-3838 Fax: 888-919-1083 | |
Dr. Frederic W Schmidt, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800 Fax: 920-431-7024 | |
Diane M Mayland, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd Ste 220, Green Bay, WI 54311 Phone: 920-288-8230 Fax: 920-288-8235 | |
Justin D Miller, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800 Fax: 920-965-4801 | |
Dr. Alex Barr, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1860 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Dr. Jon Austin Slezak, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8230 | |
Dr. Jennifer B Lynch, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-445-7226 Fax: 920-445-7229 |