Jason M Nitke, DO | |
1881 Chicago St, De Pere, WI 54115-3770 | |
(920) 403-8000 | |
Not Available |
Full Name | Jason M Nitke |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 23 Years |
Location | 1881 Chicago St, De Pere, 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 |
---|---|---|---|
1629026059 | NPI | - | NPPES |
43515200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 46872 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora At Home | Green bay, WI | Home health agency |
Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Jason M Nitke, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Jason M Nitke, DO 1881 Chicago St, De Pere, WI 54115-3770 Ph: (920) 403-8000 |
Bozena J Biernat, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 Redbird Cir, Suite 300, De Pere, WI 54115 Phone: 920-338-6870 | |
Ronelle M Moe, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Redbird Cir, Suite 300, De Pere, WI 54115 Phone: 920-338-6870 | |
Robert Elwood Wampler, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 Fax: 920-431-1950 | |
Dr. Roderick L Meves, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Redbird Cir, De Pere, WI 54115 Phone: 920-338-6870 | |
David Gearhart Richards, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 Fax: 920-431-1950 | |
Kathryn A Lafond, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 Redbird Cir Ste 300, De Pere, WI 54115 Phone: 920-338-6870 Fax: 920-338-6829 |