Sandra Groenewold, MD | |
1095 Midway Rd, Menasha, WI 54952-1115 | |
(920) 720-2300 | |
Not Available |
Full Name | Sandra Groenewold |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1095 Midway Rd, Menasha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881620722 | NPI | - | NPPES |
32309500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36918 (Wisconsin) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 36918 (Wisconsin) | Primary |
Entity Name | Thedacare, Incorporated |
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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 |
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Sandra Groenewold, MD 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 720-2300 | Sandra Groenewold, MD 1095 Midway Rd, Menasha, WI 54952-1115 Ph: (920) 720-2300 |
Yong Li, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 Fax: 920-720-3806 | |
John Beld, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 | |
Dr. Robert Perzacki, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1820 Appleton Rd, Menasha, WI 54952 Phone: 920-996-2200 Fax: 920-996-2214 | |
Dr. Nathaniel Thomas Albrecht, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 | |
Matthew A Bayer, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-3700 | |
Paul C Burney, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 Fax: 920-720-3719 |