Shane M Gillespie, DO | |
2845 Greenbrier Rd, Green Bay, WI 54311-6519 | |
(920) 288-3388 | |
Not Available |
Full Name | Shane M Gillespie |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 17 Years |
Location | 2845 Greenbrier Rd, Green Bay, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477757532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 62207 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baycare Clinic Llp | 4385554328 | 183 |
Entity Name | Baycare Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
Mailing Address | Practice Location Address |
---|---|
Shane M Gillespie, DO Po Box 28900, Green Bay, WI 54324-0900 Ph: (920) 490-9046 | Shane M Gillespie, DO 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-3388 |
Timothy R Cooper, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 877-229-0273 Fax: 920-288-4863 | |
Dr. Brian C Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-0111 | |
Stephen A Brada, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370 | |
Linda M Neuser, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-5582 | |
Dr. Joel M Johnson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-443-0111 | |
Dr. Marshall A Longnecker, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 | |
Dr. Hwe Jae Song, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 139 Garden Gate Ct, Green Bay, WI 54313 Phone: 920-883-9527 |