Dr Roland P Moreno, MD | |
2845 Greenbrier Rd, Green Bay, WI 54311-6519 | |
(920) 288-4010 | |
Not Available |
Full Name | Dr Roland P Moreno |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 32 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 |
---|---|---|---|
1376650788 | NPI | - | NPPES |
32718000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 41601 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
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 Roland P Moreno, MD 2901 W Kinnickinnic River Pkwy Ste 309, Milwaukee, WI 53215-3660 Ph: (414) 649-1292 | Dr Roland P Moreno, MD 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-4010 |
Eric Abdul, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-430-4700 | |
Dr. Thomas C Betka, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4010 Fax: 920-288-4011 | |
Trevor C. Pugh, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 3237 Voyager Dr, Green Bay, WI 54311 Phone: 920-468-8288 | |
Jasmine John, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 3021 Voyager Dr, Green Bay, WI 54311 Phone: 920-496-4700 | |
Karen Besiada Hansen, OTR Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 Potts Ave, Green Bay, WI 54304 Phone: 920-491-9079 Fax: 920-491-9082 | |
Al Baltrusaitis, D.O. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Voyager Dr, Green Bay, WI 54311 Phone: 920-496-4700 |