Mr Richard Kevin Mcnutt, MD | |
900 S Webster Ave, Green Bay, WI 54301-3508 | |
(920) 965-7411 | |
(920) 965-7412 |
Full Name | Mr Richard Kevin Mcnutt |
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Gender | Male |
Speciality | Surgery |
Location | 900 S Webster Ave, 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 |
---|---|---|---|
1215014279 | NPI | - | NPPES |
31707700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 27731 (Wisconsin) | Primary |
2086S0129X | Surgery - Vascular Surgery | 27731 (Wisconsin) | Secondary |
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: 1316991169 PECOS PAC ID: 5799694675 Enrollment ID: O20050906000466 |
Entity Name | Vohra Wound Physicians Of The Mid-west, S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720536477 PECOS PAC ID: 9739467309 Enrollment ID: O20161102001017 |
Mailing Address | Practice Location Address |
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Mr Richard Kevin Mcnutt, MD Po Box 13508, Green Bay, WI 54307-3508 Ph: (920) 965-7411 | Mr Richard Kevin Mcnutt, MD 900 S Webster Ave, Green Bay, WI 54301-3508 Ph: (920) 965-7411 |
Edgar (ted) King Collison Iv, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1715 Dousman St, Green Bay, WI 54303 Phone: 920-496-4700 | |
Dr. Peter V Gapinski, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, #120, Green Bay, WI 54308 Phone: 920-288-8100 | |
Dr. Teresa A Gonzaga, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240 Fax: 920-857-1488 | |
Benjamin Andrew, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1860 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Carrie Ann Thoms, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-436-1379 | |
Daniel Williams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Karri Adamson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240 |