Michael G Medich, MD | |
2845 Greenbrier Rd, Green Bay, WI 54311-6519 | |
(920) 288-4060 | |
(920) 288-4067 |
Full Name | Michael G Medich |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2845 Greenbrier Rd, 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 |
---|---|---|---|
1588692123 | NPI | - | NPPES |
104470444 | Medicaid | MI | |
930070500 | Other | WI | RAILROAD |
31529400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 30591 (Wisconsin) | Primary |
Entity Name | Baycare Clinic Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
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 |
Mailing Address | Practice Location Address |
---|---|
Michael G Medich, MD 1035 Kepler Dr, Green Bay, WI 54311-8320 Ph: (920) 490-9046 | Michael G Medich, MD 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-4060 |
Katie Lynn Lloyd, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Darren M Heesacker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Edward C Vogel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Dr. David Franklin Edwards, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6000 Fax: 920-433-6009 | |
Dr. David Alan Sorrentino, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Dr. Ryan Thomas Murphy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Dr. Jill P Harman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 Fax: 920-433-7932 |