Ms Cynthia Frances Susedik, DO | |
3925 N Gateway Dr, Appleton, WI 54913-7863 | |
(920) 830-6877 | |
(920) 993-5037 |
Full Name | Ms Cynthia Frances Susedik |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 36 Years |
Location | 3925 N Gateway Dr, Appleton, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043358914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33577 (Wisconsin) | Primary |
207P00000X | Emergency Medicine | 33577 (Wisconsin) | Secondary |
207P00000X | Emergency Medicine | 036-081304 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thedacare, Incorporated | 1759294887 | 509 |
Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
Entity Name | Thedacare, Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Mailing Address | Practice Location Address |
---|---|
Ms Cynthia Frances Susedik, DO 3925 N Gateway Dr, Appleton, WI 54913-7863 Ph: (920) 830-6877 | Ms Cynthia Frances Susedik, DO 3925 N Gateway Dr, Appleton, WI 54913-7863 Ph: (920) 830-6877 |
Michael John Van Abel, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 | |
Stephen C Fuller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 | |
Samuel James Heiks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 Fax: 920-996-1054 | |
Brittany E Goodrich-braun, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 | |
Dirk Jon Derksen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Wagon Wheel Dr, Appleton, WI 54913 Phone: 920-731-6374 | |
N Carter Noble, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3329 N Richmond St, Appleton, WI 54911 Phone: 920-380-2715 |