Eduardo K Moioli, | |
2845 Greenbrier Rd, Green Bay, WI 54311-6519 | |
(920) 288-8000 | |
Not Available |
Full Name | Eduardo K Moioli |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 12 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 |
---|---|---|---|
1154697274 | NPI | - | NPPES |
100209209 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 036143292 (Illinois) | Secondary |
207N00000X | Dermatology | 22686 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
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 |
Mailing Address | Practice Location Address |
---|---|
Eduardo K Moioli, 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (920) 288-8000 | Eduardo K Moioli, 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-8000 |
Frances Stahl Ballo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2806 Riverview Dr, Green Bay, WI 54313 Phone: 920-498-7546 Fax: 920-569-4129 | |
Dr. Michael James Smullen, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1239 W Mason St, Green Bay, WI 54303 Phone: 920-499-0696 Fax: 920-499-0697 | |
Dr. Daniel P Hertel, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 Fax: 920-288-8462 | |
Timothy Richard Von Seth, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2360 Duck Creek Pkwy, Green Bay, WI 54303 Phone: 920-965-0345 | |
Kevan G Lewis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3059 Voyager Dr, Green Bay, WI 54311 Phone: 920-965-0345 Fax: 920-257-4559 | |
Paul Michael Stover, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2806 Riverview Dr, Green Bay, WI 54313 Phone: 920-498-7546 Fax: 920-569-4129 |