Lea Ann Schroeter, MD | |
501 Granite St, Hurley, WI 54534-1384 | |
(715) 561-2255 | |
(715) 561-5021 |
Full Name | Lea Ann Schroeter |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 501 Granite St, Hurley, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699773887 | NPI | - | NPPES |
4307534 | Medicaid | MI | |
LS050609 | Other | MI | BLUE CROSS BLUE SHIELD MI |
1018466 | Other | PREFERREDONE | |
12D82SC | Other | MN | BCBS |
30735100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301050609 (Michigan) | Primary |
208000000X | Pediatrics | 26178 (Wisconsin) | Secondary |
Entity Name | Gundersen Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
Entity Name | Memorial Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437179231 PECOS PAC ID: 8022000447 Enrollment ID: O20040402000938 |
Entity Name | Memorial Medical Center Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1437179231 PECOS PAC ID: 8022000447 Enrollment ID: O20070625000370 |
Entity Name | Gundersen Lutheran Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
Mailing Address | Practice Location Address |
---|---|
Lea Ann Schroeter, MD N10565 Grandview Ln, Ironwood, MI 49938-9622 Ph: (906) 932-1500 | Lea Ann Schroeter, MD 501 Granite St, Hurley, WI 54534-1384 Ph: (715) 561-2255 |