Breanna M O'neil, MD | |
5000 Memorial Dr, Two Rivers, WI 54241-3900 | |
(920) 794-5000 | |
Not Available |
Full Name | Breanna M O'neil |
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Gender | Female |
Speciality | Surgery |
Location | 5000 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 |
---|---|---|---|
1407384043 | NPI | - | NPPES |
100212240 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 77378 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Aurora Health Care North Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477508687 PECOS PAC ID: 9436067402 Enrollment ID: O20040211000368 |
Mailing Address | Practice Location Address |
---|---|
Breanna M O'neil, MD 5000 Memorial Dr, Two Rivers, WI 54241-3900 Ph: (920) 794-5000 | Breanna M O'neil, MD 5000 Memorial Dr, Two Rivers, WI 54241-3900 Ph: (920) 794-5000 |
Dr. David Dean Copp, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 | |
Dr. Charles D Pratt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5125 | |
Dr. Steven Bradley Goldin, MD PHD MPH CPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7300 | |
Dr. John Charles Zeldenrust, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7300 |