William Scott Dougherty, MD | |
2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | |
(920) 288-8280 | |
(920) 288-8285 |
Full Name | William Scott Dougherty |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 35 Years |
Location | 2845 Greenbrier Rd Ste 240, 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 |
---|---|---|---|
1548298789 | NPI | - | NPPES |
3402100631 | Other | MI | BCBS |
32215300 | Medicaid | WI | |
340015990 | Other | WI | RAILROAD |
104236924 | Medicaid | MI | |
104386144 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 37353 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
Aurora Medical Ctr Manitowoc County | Two rivers, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baycare Aurora Llc | 0244130557 | 175 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
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 |
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 |
Entity Name | Baycare Aurora Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
Mailing Address | Practice Location Address |
---|---|
William Scott Dougherty, MD 2845 Greenbrier Rd Ste 240, Po Box 8900, Green Bay, WI 54308-8900 Ph: (920) 288-8280 | William Scott Dougherty, MD 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 Ph: (920) 288-8280 |
Heather M Stefaniak, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311 Phone: 920-288-8280 Fax: 920-288-8285 | |
Richard Windsor, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Suite 240, Green Bay, WI 54311 Phone: 920-288-8280 Fax: 920-288-8285 | |
Dr. Hamayun Saeed Mian, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 720 S Van Buren St, Suite 301, Green Bay, WI 54301 Phone: 920-433-9400 Fax: 920-433-9409 | |
Dr. Christopher J Keto, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8280 | |
Bruce M Neal, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311 Phone: 920-288-8280 Fax: 920-288-8285 | |
Dr. Vannhu Nguyen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Ste 240, Green Bay, WI 54311 Phone: 920-288-8280 Fax: 920-288-8285 | |
Timothy J Kennedy, MD Urology Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311 Phone: 920-288-8280 Fax: 920-288-8285 |