| Elizabeth Anne Polacheck, MD | |
|
1110 Kepler Dr, Green Bay, WI 54311-8306 | |
| (920) 304-9695 | |
| Not Available |
| Full Name | Elizabeth Anne Polacheck |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 35 Years |
| Location | 1110 Kepler 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 |
|---|---|---|---|
| 1528115250 | NPI | - | NPPES |
| 32041800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 35784-20 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Post-acute Physicians Of Wisconsin Sc | 4789024431 | 3 |
| Entity Name | Elizabeth Polacheck Md Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225244668 PECOS PAC ID: 8820006786 Enrollment ID: O20060404000290 |
| Entity Name | Post-acute Physicians Of Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295593218 PECOS PAC ID: 4789024431 Enrollment ID: O20240429003454 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Anne Polacheck, MD 1776 Woodstead Ct Ste 208, The Woodlands, TX 77380-1480 Ph: (877) 749-7428 | Elizabeth Anne Polacheck, MD 1110 Kepler Dr, Green Bay, WI 54311-8306 Ph: (920) 304-9695 |
Dr. Eric Maitland Dvorak, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54305 Phone: 920-445-7210 Fax: 920-445-7229 | |
Dr. Ryan Woods, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1110 Kepler Dr, Green Bay, WI 54311 Phone: 920-288-5555 Fax: 920-288-5550 | |
Rose Marie Turba, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-272-1621 | |
Thu Malikowski, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 | |
Danzhu Guo, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2401 Holmgren Way, Green Bay, WI 54304 Phone: 920-288-8377 Fax: 920-288-8385 | |
Nicole Larscheid, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3021 Voyager Dr, Green Bay, WI 54311 Phone: 920-272-3380 | |
John Michael Koch, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-272-1621 |