Dr Teresa A Gonzaga, MD | |
2605 Development Dr, Green Bay, WI 54311-4240 | |
(920) 288-8240 | |
(920) 857-1488 |
Full Name | Dr Teresa A Gonzaga |
---|---|
Gender | Female |
Speciality | Plastic And Reconstructive Surgery |
Experience | 16 Years |
Location | 2605 Development Dr, Green Bay, 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 |
---|---|---|---|
1073776928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 69135 (Wisconsin) | Secondary |
208200000X | Plastic Surgery | 69135 (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 |
---|---|---|
Baycare Clinic Llp | 4385554328 | 183 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Entity Name | Columbia St Marys Hospital Milwaukee Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
Entity Name | Baycare Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
Entity Name | Marshfield Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Entity Name | Lakeview Medical Center Inc Of Rice Lake |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
Mailing Address | Practice Location Address |
---|---|
Dr Teresa A Gonzaga, MD 1035 Kepler Dr, Green Bay, WI 54311-8320 Ph: (920) 490-9046 | Dr Teresa A Gonzaga, MD 2605 Development Dr, Green Bay, WI 54311-4240 Ph: (920) 288-8240 |
Dr. William J Dierberg, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240 | |
Dr. James Lee, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 S Webster Ave, Ste 401, Green Bay, WI 54301 Phone: 920-436-8284 | |
Steven C Schmidt, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240 Fax: 920-288-8255 | |
Dr. Elizabeth A O'connor, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240 Fax: 920-288-8255 | |
Dr. Eugene H Schmitt Iii, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 704 S Webster Ave, Ste 401, Green Bay, WI 54301 Phone: 920-432-7000 Fax: 920-432-7451 | |
James M Zasuly, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240 Fax: 920-857-1488 |