Dallas Bogner, MD | |
1380 Tullar Rd, Neenah, WI 54956-4440 | |
(920) 727-3480 | |
(920) 727-3490 |
Full Name | Dallas Bogner |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 1380 Tullar Rd, Neenah, 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 |
---|---|---|---|
1396780144 | NPI | - | NPPES |
34683800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DR.0034837 (Colorado) | Secondary |
207Q00000X | Family Medicine | 48225 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Centura Health-st Anthony North Health Campus | Westminster, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Catholic Health Initiatives Colorado | 8022927342 | 972 |
Entity Name | Catholic Health Initiatives Colorado |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
Mailing Address | Practice Location Address |
---|---|
Dallas Bogner, MD Po Box 8003, Appleton, WI 54912-8003 Ph: (920) 996-3200 | Dallas Bogner, MD 1380 Tullar Rd, Neenah, WI 54956-4440 Ph: (920) 727-3480 |
Krystina Marie Pischke, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 S Commercial St, Neenah, WI 54956 Phone: 920-729-6088 Fax: 920-729-6484 | |
Stephen T Cruz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Main St, Neenah, WI 54956 Phone: 920-727-5810 | |
Andrew Michael Dunn, D.O Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 333 N Green Bay Rd, Neenah, WI 54956 Phone: 920-729-6088 | |
Teresa L Rudolph, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 S Commercial St, Neenah, WI 54956 Phone: 920-729-6088 Fax: 920-729-6484 | |
Erik A Emaus, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 411 Lincoln St, Neenah, WI 54956 Phone: 920-720-1781 Fax: 920-720-1790 | |
Tomasz K Miaskowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Main St, Neenah, WI 54956 Phone: 920-727-5810 | |
Mikayla Marie Unger, APNP Family Medicine Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-3100 |