Dr David N Heverly, MD | |
725 S Webster Ave, Suite 201, Green Bay, WI 54301-3500 | |
(920) 430-7100 | |
(920) 430-7114 |
Full Name | Dr David N Heverly |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 28 Years |
Location | 725 S Webster 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 |
---|---|---|---|
1649205170 | NPI | - | NPPES |
32837700 | Medicaid | WI | |
33320100 | Medicaid | WI | |
364608478002 | Other | WI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 42235 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Cloud Hospital | Saint cloud, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centracare Clinic | 2466363395 | 632 |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Mailing Address | Practice Location Address |
---|---|
Dr David N Heverly, MD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7210 | Dr David N Heverly, MD 725 S Webster Ave, Suite 201, Green Bay, WI 54301-3500 Ph: (920) 430-7100 |
Dr. Emily R Rademacher, D.O., M.B.A. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-3630 Fax: 920-437-0533 | |
Dr. George D Soncrant, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3000 Riverside Dr, Suite 180, Green Bay, WI 54301 Phone: 920-632-7040 Fax: 920-632-7262 | |
Dr. Aubree Rae Bruhnding, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 725 S Webster Ave Ste 201, Green Bay, WI 54301 Phone: 920-430-7100 Fax: 920-430-7114 | |
John Christopher Charles, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-6073 | |
Dr. David K Kaufman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 725 S Webster Ave, Suite 201, Green Bay, WI 54301 Phone: 920-430-7100 Fax: 920-430-7114 | |
Dr. Anne Marie Wannamaker, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-3630 Fax: 920-431-0333 | |
Kevin Michael Hansen, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2851 University Ave, Green Bay, WI 54311 Phone: 920-265-9687 |