Izabela J Ditchen, MD | |
2714 Riverview Dr, Green Bay, WI 54313-6715 | |
(920) 430-4760 | |
Not Available |
Full Name | Izabela J Ditchen |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 28 Years |
Location | 2714 Riverview 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 |
---|---|---|---|
1104800911 | NPI | - | NPPES |
34321800 | Medicaid | WI | |
45158 | Other | WI | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 45158 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bellin Memorial Hospital | Green bay, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bellin Memorial Hospital Inc | 8820900749 | 533 |
Entity Name | Bellin Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
Mailing Address | Practice Location Address |
---|---|
Izabela J Ditchen, MD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222 | Izabela J Ditchen, MD 2714 Riverview Dr, Green Bay, WI 54313-6715 Ph: (920) 430-4760 |
Dr. Rachael E. Vanden Langenberg, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6700 | |
Bradley Jay Fedderly, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 Fax: 414-762-4225 | |
Amy M Romandine Kratz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1727 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Barbara H Franck, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 Challenger Dr Ste 191, Green Bay, WI 54311 Phone: 920-412-9737 Fax: 920-489-2247 | |
Matthew Krueger Jenson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Siegler St, Green Bay, WI 54303 Phone: 920-494-9661 Fax: 920-496-3792 | |
Megan Leigh Grimm, DNP FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-884-3135 | |
Trent J Auguston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Voyager Dr, Green Bay, WI 54311 Phone: 920-496-4700 |