Georgia Dimos Brunette, | |
3500 Tower Ave, Superior, WI 54880-5335 | |
(715) 395-5454 | |
Not Available |
Full Name | Georgia Dimos Brunette |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 29 Years |
Location | 3500 Tower Ave, Superior, 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 |
---|---|---|---|
1043255342 | NPI | - | NPPES |
30096700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 41637-021 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Duluth, MN | Home health agency |
Recover Health | Duluth, MN | Home health agency |
Essentia Health St Marys Hospice & Palliative Care | Duluth, MN | Hospice |
St Marys Hospital Superior | Superior, WI | Hospital |
Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Polinsky Medical Rehabilitation Center | 0941377360 | 205 |
Entity Name | St Marys Hospital Of Superior |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083657886 PECOS PAC ID: 8628964228 Enrollment ID: O20040309000070 |
Mailing Address | Practice Location Address |
---|---|
Georgia Dimos Brunette, 3500 Tower Ave, Superior, WI 54880-5335 Ph: (715) 395-5454 | Georgia Dimos Brunette, 3500 Tower Ave, Superior, WI 54880-5335 Ph: (715) 395-5454 |
Jerzy Jan Andrzejewski, Internal Medicine Medicare: Medicare Enrolled Practice Location: Twin Ports Outpatient Clinic, 3520 Tower Avenue, Superior, WI 54880 Phone: 715-392-9711 | |
Dr. Eric Robert Gutscher, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3520 Tower Ave, Twin Ports Va Clinic, Superior, WI 54880 Phone: 715-392-9711 Fax: 715-398-2923 | |
Sarojini Sharma, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5454 | |
Dr. Clyde Edward Markon, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3520 Tower Ave, Twin Ports Outpatient Clinic, Superior, WI 54880 Phone: 715-398-2933 | |
George F Holliday, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5454 |