Mark A Gardon, MD | |
2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 | |
(920) 288-8350 | |
(920) 288-8355 |
Full Name | Mark A Gardon |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 2845 Greenbrier Rd Ste 330, 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 |
---|---|---|---|
1366470544 | NPI | - | NPPES |
104405670 | Medicaid | MI | |
104806220 | Medicaid | MI | |
140007796 | Other | WI | RAILROAD |
34201700 | Medicaid | WI | |
104584884 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 32288 (Wisconsin) | Primary |
Entity Name | Baycare Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
Mailing Address | Practice Location Address |
---|---|
Mark A Gardon, MD 2845 Greenbrier Rd Ste 330, Po Box 8900, Green Bay, WI 54308-8900 Ph: (920) 288-8350 | Mark A Gardon, MD 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311-6519 Ph: (920) 288-8350 |
Dr. Shawn Allen Belverud, D.O. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-0111 | |
John Matthew Leschke, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8350 Fax: 920-288-8355 | |
Dr. Bruce Clarke Bressler, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3117 Bay View Dr, Green Bay, WI 54311 Phone: 920-465-0723 | |
Dr. Kenneth W. Reichert Ii, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8350 Fax: 920-288-8355 | |
Max E Ots, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8350 Fax: 920-288-8355 | |
Paul N Baek, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8350 Fax: 920-288-8355 |