Geoffrey Thomas Bouc, MD | |
3005 Riverside Dr, Suite 101, Beloit, WI 53511-1500 | |
(608) 365-7200 | |
(608) 365-7202 |
Full Name | Geoffrey Thomas Bouc |
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Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 3005 Riverside Dr, Beloit, 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 |
---|---|---|---|
1609947159 | NPI | - | NPPES |
32161500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36893 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Entity Name | Bouc Family Wellness Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356520563 PECOS PAC ID: 9032170857 Enrollment ID: O20041025000374 |
Mailing Address | Practice Location Address |
---|---|
Geoffrey Thomas Bouc, MD 3005 Riverside Dr, Suite 101, Beloit, WI 53511-1500 Ph: (608) 365-7200 | Geoffrey Thomas Bouc, MD 3005 Riverside Dr, Suite 101, Beloit, WI 53511-1500 Ph: (608) 365-7200 |
Imad M. Aziz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Prairie Ave, Beloit, WI 53511 Phone: 608-363-5500 Fax: 608-363-5539 | |
Stephen R Rudisill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 Lee Lane, Occupation Health Sports & Family Medicine Center, Beloit, WI 53511 Phone: 608-362-0211 Fax: 608-364-4670 | |
Jennifer S. Cho-escalante, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511 Phone: 608-364-2240 Fax: 608-363-7394 | |
Nicole T. Hemkes, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit Memorial Hospital, Beloit, WI 53511 Phone: 608-363-5971 Fax: 608-636-5737 | |
Maria M. Poplawska Goetzen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511 Phone: 608-364-2410 Fax: 608-364-1287 | |
Dr. Jack-ky Wang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1905 E. Huebbe Parkway, Beloit Health System, Inc, Beloit, WI 53511 Phone: 608-364-2410 Fax: 608-364-1287 | |
Dr. Christel Tecarro, MD. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511 Phone: 608-364-2240 Fax: 608-363-7374 |