David L Groteluschen, MD | |
1726 Shawano Ave, Green Bay, WI 54303-3216 | |
(920) 884-3135 | |
(920) 884-3144 |
Full Name | David L Groteluschen |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 23 Years |
Location | 1726 Shawano Ave, 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 |
---|---|---|---|
1679538011 | NPI | - | NPPES |
34871500 | Medicaid | WI | |
104894036 | Medicaid | MI | |
DG088696 | Other | MI | MICHIGAN BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RX0202X | Internal Medicine - Medical Oncology | 44953 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Unity Hospice | De pere, WI | Hospice |
St Vincent Hospital | Green bay, WI | Hospital |
St Mary's Hospital Medical Center | Green bay, WI | Hospital |
Door County Medical Center | Sturgeon bay, WI | Hospital |
Aspirus Medford Hospital & Clinics, Inc | Medford, WI | Hospital |
St Nicholas Hospital | Sheboygan, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 546 |
Ascension Ne Wisconsin, Inc | 7719897784 | 29 |
Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689694911 PECOS PAC ID: 5799694675 Enrollment ID: O20040126000012 |
Entity Name | Ascension Ne Wisconsin, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407803638 PECOS PAC ID: 7719897784 Enrollment ID: O20061027000037 |
Mailing Address | Practice Location Address |
---|---|
David L Groteluschen, MD 1726 Shawano Ave, Green Bay, WI 54303-3216 Ph: (920) 884-3135 | David L Groteluschen, MD 1726 Shawano Ave, Green Bay, WI 54303-3216 Ph: (920) 884-3135 |
Amritha Chandrahasa Karkera, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 | |
Yaw D Berko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Lee James Klemens, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705 | |
Dr. Kevin L Mortara, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659 | |
William T Witmer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311 Phone: 920-288-8300 Fax: 920-288-8305 | |
Jay Matthew Salmon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 | |
Dr. Alay Mansurov, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659 |