Laura M Nelson, MD | |
2710 Executive Dr, Green Bay, WI 54304-5496 | |
(920) 496-4700 | |
Not Available |
Full Name | Laura M Nelson |
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Gender | Female |
Speciality | Internal Medicine |
Location | 2710 Executive Dr, 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 |
---|---|---|---|
1548298169 | NPI | - | NPPES |
31833600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 33414 (Wisconsin) | Primary |
Entity Name | St Clare Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037 |
Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
Mailing Address | Practice Location Address |
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Laura M Nelson, MD 2710 Executive Dr, Po Box 19070, Green Bay, WI 54304-5496 Ph: (920) 496-4700 | Laura M Nelson, MD 2710 Executive Dr, Green Bay, WI 54304-5496 Ph: (920) 496-4700 |
Amritha Chandrahasa Karkera, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 | |
Yaw D Berko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Lee James Klemens, MD Internal Medicine 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 Internal Medicine 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 Internal Medicine 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. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 | |
Dr. Alay Mansurov, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659 |