Cornelius W Hyzer Jr, MD | |
100 County Road B, Shawano, WI 54166-7072 | |
(715) 524-2161 | |
(715) 526-3461 |
Full Name | Cornelius W Hyzer Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 100 County Road B, Shawano, 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 |
---|---|---|---|
1275933418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 62809-20 (Wisconsin) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | 62809-20 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare At Home | Appleton, WI | Home health agency |
Thedacare At Home | Appleton, WI | Hospice |
Compassus Green Bay | Green bay, WI | Hospice |
Thedacare Medical Center - Shawano | Shawano, WI | Hospital |
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thedacare, Incorporated | 1759294887 | 509 |
Thedacare Medical Center - Shawano, Inc. | 5890605836 | 32 |
Entity Name | Thedacare, Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Entity Name | Thedacare Medical Center - Shawano, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
Mailing Address | Practice Location Address |
---|---|
Cornelius W Hyzer Jr, MD Po Box 8003, Appleton, WI 54912-8003 Ph: (920) 830-5900 | Cornelius W Hyzer Jr, MD 100 County Road B, Shawano, WI 54166-7072 Ph: (715) 524-2161 |
Dr. Mindy Maria Frimodig, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 | |
Dr. Richard Dennis Sarnwick, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1346 E Green Bay St, Shawano, WI 54166 Phone: 715-526-8800 | |
Gregory Thatcher, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 | |
Dr. John Edward Laabs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 | |
Tod C Lewis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1346 E Green Bay St, Shawano, WI 54166 Phone: 715-526-6244 | |
Alisha Frances Fahley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 |