Dianna L Bordewick, MD | |
2253 W Mason St Ste 100, Green Bay, WI 54303-4706 | |
(920) 327-7000 | |
(920) 327-7005 |
Full Name | Dianna L Bordewick |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Location | 2253 W Mason St Ste 100, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790720100 | NPI | - | NPPES |
32562600 | Medicaid | WI | |
180043984 | Other | WI | RAILROAD |
104390165 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 41090 (Wisconsin) | Primary |
Entity Name | Peacehealth Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
Entity Name | Eugene Eye Care Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457553976 PECOS PAC ID: 5193797348 Enrollment ID: O20040809001321 |
Mailing Address | Practice Location Address |
---|---|
Dianna L Bordewick, MD 2253 W Mason St Ste 100, Po Box 13097, Green Bay, WI 54307-3097 Ph: (920) 327-7000 | Dianna L Bordewick, MD 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 Ph: (920) 327-7000 |
Dr. Ayman Elnahry, MD, PHD Ophthalmology Medicare: Medicare Enrolled Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 | |
Larry A Meyer, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Ste 100, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 | |
Dr. William Joseph Reynders, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 | |
Kevin P Wienkers, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 | |
Karl Lee Schwiesow, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1087 W Mason Street, Green Bay, WI 54303 Phone: 920-499-3102 Fax: 920-499-9636 | |
Kurt August Schwiesow, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1087 W Mason Street, Green Bay, WI 54303 Phone: 920-499-3102 Fax: 920-499-9636 | |
Mark T Duffy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 |