Trevor C Pugh, DO | |
3237 Voyager Dr, Green Bay, WI 54311-8349 | |
(920) 468-8288 | |
Not Available |
Full Name | Trevor C Pugh |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 3237 Voyager Dr, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184165474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 11899060-1204 (Utah) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | 22534 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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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 |
---|---|
Trevor C Pugh, DO 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (920) 468-8288 | Trevor C Pugh, DO 3237 Voyager Dr, Green Bay, WI 54311-8349 Ph: (920) 468-8288 |
Eric Abdul, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-430-4700 | |
Dr. Thomas C Betka, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4010 Fax: 920-288-4011 | |
Jasmine John, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 3021 Voyager Dr, Green Bay, WI 54311 Phone: 920-496-4700 | |
Dr. Roland P Moreno, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4010 | |
Karen Besiada Hansen, OTR Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 Potts Ave, Green Bay, WI 54304 Phone: 920-491-9079 Fax: 920-491-9082 | |
Al Baltrusaitis, D.O. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Voyager Dr, Green Bay, WI 54311 Phone: 920-496-4700 |