John R Boardman, MD | |
2629 N 7th St, Sheboygan, WI 53083-4932 | |
(920) 451-5553 | |
(920) 451-5113 |
Full Name | John R Boardman |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2629 N 7th St, Sheboygan, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487682696 | NPI | - | NPPES |
30735200 | Medicaid | WI | |
104363050 | Medicaid | MI | |
930111410 | Other | WI | RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 27561 (Wisconsin) | Primary |
Entity Name | Aurora Health Care Central, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922053107 PECOS PAC ID: 4688583677 Enrollment ID: O20040308000588 |
Entity Name | Baycare Aurora Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
Mailing Address | Practice Location Address |
---|---|
John R Boardman, MD 2629 N 7th St, Sheboygan, WI 53083-4932 Ph: (920) 451-5553 | John R Boardman, MD 2629 N 7th St, Sheboygan, WI 53083-4932 Ph: (920) 451-5553 |
Beth Kreutzer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 | |
Tyler Beranek, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 902-802-8426 | |
Charles R Strancke Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5553 Fax: 920-451-5113 | |
John Longano, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 414-290-6715 | |
David L Paton, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5553 Fax: 920-451-5113 | |
Andrew M Thorson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 | |
Erin Mcglynn, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 |