Dr Nana Sarkoah Ivy Fenny, MD | |
519 S Monroe Ave, Green Bay, WI 54301-4017 | |
(920) 435-6601 | |
(920) 436-3840 |
Full Name | Dr Nana Sarkoah Ivy Fenny |
---|---|
Gender | Female |
Speciality | Internal Medicine - Allergy & Immunology |
Location | 519 S Monroe Ave, 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 |
---|---|---|---|
1689998262 | NPI | - | NPPES |
82547-20 | Other | WI | SATE OF WISCONSIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RA0201X | Internal Medicine - Allergy & Immunology | 036.129852 (Illinois) | Secondary |
207RA0201X | Internal Medicine - Allergy & Immunology | 82547-20 (Wisconsin) | Primary |
Entity Name | The University Of Chicago Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Mailing Address | Practice Location Address |
---|---|
Dr Nana Sarkoah Ivy Fenny, MD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7210 | Dr Nana Sarkoah Ivy Fenny, MD 519 S Monroe Ave, Green Bay, WI 54301-4017 Ph: (920) 435-6601 |
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 |