Jeremy Jackson Renz, DO | |
1821 S Webster Ave, Green Bay, WI 54301-2253 | |
(920) 496-4700 | |
Not Available |
Full Name | Jeremy Jackson Renz |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 1821 S Webster Ave, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285121285 | NPI | - | NPPES |
100288803 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | DR.0066106 (Colorado) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 81579-21 (Wisconsin) | Primary |
Entity Name | Inpatient Services, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710999768 PECOS PAC ID: 5496651267 Enrollment ID: O20031211000419 |
Entity Name | Parkview Ancillary Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Jackson Renz, DO Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Jeremy Jackson Renz, DO 1821 S Webster Ave, Green Bay, WI 54301-2253 Ph: (920) 496-4700 |
Amritha Chandrahasa Karkera, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 | |
Yaw D Berko, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Lee James Klemens, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705 | |
Dr. Kevin L Mortara, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659 | |
William T Witmer, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311 Phone: 920-288-8300 Fax: 920-288-8305 | |
Jay Matthew Salmon, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 | |
Dr. James L Napier Jr, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, #140, Green Bay, WI 54308 Phone: 920-288-8100 Fax: 920-288-8152 |