Susan M Jacquez-dean, MD | |
1160 Kepler Dr, 2nd Floor, Green Bay, WI 54311-8321 | |
(920) 288-5630 | |
(920) 288-5439 |
Full Name | Susan M Jacquez-dean |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 22 Years |
Location | 1160 Kepler Dr, 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 |
---|---|---|---|
1659482339 | NPI | - | NPPES |
34440300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 45956-020 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Susan M Jacquez-dean, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Susan M Jacquez-dean, MD 1160 Kepler Dr, 2nd Floor, Green Bay, WI 54311-8321 Ph: (920) 288-5630 |
Dr. Emily R Rademacher, D.O., M.B.A. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-3630 Fax: 920-437-0533 | |
Dr. George D Soncrant, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3000 Riverside Dr, Suite 180, Green Bay, WI 54301 Phone: 920-632-7040 Fax: 920-632-7262 | |
Dr. Aubree Rae Bruhnding, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 725 S Webster Ave Ste 201, Green Bay, WI 54301 Phone: 920-430-7100 Fax: 920-430-7114 | |
John Christopher Charles, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-6073 | |
Dr. David K Kaufman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 725 S Webster Ave, Suite 201, Green Bay, WI 54301 Phone: 920-430-7100 Fax: 920-430-7114 | |
Dr. Anne Marie Wannamaker, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 301 E Saint Joseph St, Green Bay, WI 54301 Phone: 920-433-3630 Fax: 920-431-0333 | |
Kevin Michael Hansen, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2851 University Ave, Green Bay, WI 54311 Phone: 920-265-9687 |