Pamela J Vanderwall, MD | |
2845 Greenbrier Rd, Green Bay, WI 54311-6519 | |
(920) 288-4160 | |
Not Available |
Full Name | Pamela J Vanderwall |
---|---|
Gender | Female |
Speciality | Radiation Oncology |
Experience | 38 Years |
Location | 2845 Greenbrier Rd, Green Bay, 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 |
---|---|---|---|
1225075609 | NPI | - | NPPES |
31627700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 29877 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
Aurora Medical Ctr Manitowoc County | Two rivers, WI | Hospital |
Bay Area Medical Center | Marinette, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiation Oncology Associates Ltd | 7618924622 | 22 |
Entity Name | Radiation Oncology Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932154754 PECOS PAC ID: 7618924622 Enrollment ID: O20050401000480 |
Mailing Address | Practice Location Address |
---|---|
Pamela J Vanderwall, MD 11516 N Port Washington Rd Ste 107, Mequon, WI 53092-3478 Ph: (262) 241-5040 | Pamela J Vanderwall, MD 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-4160 |
George X Zaleski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1789 Shawano Ave, Green Bay, WI 54303 Phone: 920-499-1428 | |
Dr. Nami P Zarvan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093 | |
Sally Schlise, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-8184 | |
Dr. Jeremy Boone Mccue, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093 | |
William L Hingtgen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1789 Shawano, Green Bay, WI 54303 Phone: 920-499-1428 Fax: 920-499-5808 | |
Dr. James I Sladky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093 | |
Patrick M Carrigan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1789 Shawano Ave, Green Bay, WI 54303 Phone: 920-499-1428 Fax: 920-499-5808 |