Evan M Krueger, DO | |
1305 W American Dr, Neenah, WI 54956-1993 | |
(920) 729-7687 | |
Not Available |
Full Name | Evan M Krueger |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 1305 W American Dr, Neenah, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861807174 | NPI | - | NPPES |
100206380 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 125065866 (Illinois) | Primary |
207T00000X | Neurological Surgery | 76808-21 (Wisconsin) | Secondary |
Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
Entity Name | The Neuroscience Group Of Northeast Wisconsin Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578516803 PECOS PAC ID: 6204740186 Enrollment ID: O20031114000506 |
Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
Entity Name | St Clare Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037 |
Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
Mailing Address | Practice Location Address |
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Evan M Krueger, DO 1305 W American Dr, Neenah, WI 54956-1993 Ph: () - | Evan M Krueger, DO 1305 W American Dr, Neenah, WI 54956-1993 Ph: (920) 729-7687 |
Mr. Thomas Alston Lyons, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: West Pavillon 2nd Floor 130 2nd Street, The Neuroscience Group Of Ne Wi, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 | |
Mr. Randall Roy Johnson, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 | |
Mr. Philip Andrew Yazbak, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 | |
Mr. Alexander Todd Hawkins, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 800-201-1194 Fax: 920-720-7392 | |
Mr. Sumon Bhattacharjee, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 |