Dr Mindy Maria Frimodig, DO | |
100 County Road B, Shawano, WI 54166-7072 | |
(715) 524-2161 | |
(715) 524-8164 |
Full Name | Dr Mindy Maria Frimodig |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 20 Years |
Location | 100 County Road B, Shawano, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013044833 | NPI | - | NPPES |
450030723 | Other | WI | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101016029 (Michigan) | Secondary |
207Q00000X | Family Medicine | 50520 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare At Home | Appleton, WI | Home health agency |
Thedacare At Home | Appleton, WI | Hospice |
Thedacare Medical Center - Shawano | Shawano, WI | Hospital |
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thedacare, Incorporated | 1759294887 | 509 |
Thedacare Medical Center - Shawano, Inc. | 5890605836 | 32 |
Entity Name | Thedacare, Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Entity Name | Thedacare Medical Center - Shawano, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
Mailing Address | Practice Location Address |
---|---|
Dr Mindy Maria Frimodig, DO Po Box 8003, Appleton, WI 54912-8003 Ph: (920) 996-3264 | Dr Mindy Maria Frimodig, DO 100 County Road B, Shawano, WI 54166-7072 Ph: (715) 524-2161 |
Dr. Richard Dennis Sarnwick, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1346 E Green Bay St, Shawano, WI 54166 Phone: 715-526-8800 | |
Gregory Thatcher, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 | |
Dr. John Edward Laabs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 | |
Tod C Lewis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1346 E Green Bay St, Shawano, WI 54166 Phone: 715-526-6244 | |
Alisha Frances Fahley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 | |
Cornelius W Hyzer Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-526-3461 |