Jennifer Renee Cappelle, MD | |
5300 Memorial Dr, Two Rivers, WI 54241-3923 | |
(920) 793-7300 | |
Not Available |
Full Name | Jennifer Renee Cappelle |
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Gender | Female |
Speciality | Pediatrics |
Location | 5300 Memorial Dr, Two Rivers, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467710202 | NPI | - | NPPES |
100036314 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 61571 (Wisconsin) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Aurora Medical Group, Inc. |
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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 |
---|---|
Jennifer Renee Cappelle, MD 5300 Memorial Dr, Two Rivers, WI 54241-3923 Ph: () - | Jennifer Renee Cappelle, MD 5300 Memorial Dr, Two Rivers, WI 54241-3923 Ph: (920) 793-7300 |
Angela Katsma, Pediatrics Medicare: Medicare Enrolled Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7337 Fax: 920-793-6589 | |
Dr. Ali A Mir, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2219 Garfield St, Two Rivers, WI 54241 Phone: 920-793-2281 Fax: 920-793-3669 | |
Beverly J Ricker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 429-075-9853 |