Dr Mark Riedy, MD | |
2845 Greenbrier Rd, Suite 210, Green Bay, WI 54311-6519 | |
(920) 288-8100 | |
Not Available |
Full Name | Dr Mark Riedy |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 30 Years |
Location | 2845 Greenbrier Rd, 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 |
---|---|---|---|
1780681445 | NPI | - | NPPES |
227481 | Medicaid | SC | |
CM7718 | Other | RAILROAD MEDICARE | |
H503647762 | Other | SC | H503647762 |
GP1062 | Medicaid | SC | |
02914 | Other | NC | BCBS |
8902914 | Medicaid | NC | |
GP3912 | Other | SC | MEDICAID GROUP |
GP4306 | Other | SC | MEDICAID GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 22748 (South Carolina) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | 54662 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora At Home | Green bay, WI | Hospice |
Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
Aurora Medical Ctr Manitowoc County | Two rivers, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baycare Aurora Llc | 0244130557 | 175 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
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 | Baycare Aurora Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Riedy, MD 2845 Greenbrier Rd, Suite 210, Green Bay, WI 54311-6519 Ph: (920) 288-8100 | Dr Mark Riedy, MD 2845 Greenbrier Rd, Suite 210, Green Bay, WI 54311-6519 Ph: (920) 288-8100 |
Amritha Chandrahasa Karkera, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 | |
Yaw D Berko, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Lee James Klemens, MD Critical Care 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 Critical Care 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 Critical Care 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. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 | |
Dr. Alay Mansurov, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659 |