Benjamin Michael Moreau, PA in Green Bay, WI - Medicare Physician Assistant

Benjamin Michael Moreau, PA is a medicare enrolled "Physician Assistant" in Green Bay, Wisconsin. His current practice location is 1970 S Ridge Rd, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 430-4888.

Benjamin Michael Moreau is licensed to practice in Wisconsin (license number 7440-23) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215627575.

Contact Information

	Benjamin Michael Moreau, PA
	1970 S Ridge Rd, Green Bay, WI 54304-4125
	(920) 430-4888
	(920) 430-4889

Map and Direction

Provider's Profile

Full Name	Benjamin Michael Moreau
Gender	Male
Speciality	Physician Assistant
Location	1970 S Ridge Rd, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215627575
Provider Enumeration Date: 05/10/2023
Last Update Date: 08/31/2023

Medicare PECOS Information:

PECOS PAC ID: 0244699007
Enrollment ID: I20230711003656

Medical Identifiers

Medical identifiers for Benjamin Michael Moreau such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215627575	NPI	-	NPPES
1202461	Other	WI	NAT'L COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5601011806 (Michigan)	Secondary
363A00000X	Physician Assistant	7440-23 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Michael Moreau is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Benjamin Michael Moreau, PA Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7210	Benjamin Michael Moreau, PA 1970 S Ridge Rd, Green Bay, WI 54304-4125 Ph: (920) 430-4888

Reviews and Comments

Physician Assistant Nurses in Green Bay, WI

Krista M Solarek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1970 S Ridge Rd, Green Bay, WI 54304 Phone: 920-430-4888 Fax: 920-430-4889
Mrs. Jenna Mae Hanson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1715 Dousman St, Green Bay, WI 54303 Phone: 920-496-4770
Bethany J Piotrowski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-433-6000 Fax: 920-430-4719
Ethan T Shaver, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-5555 Fax: 920-288-5550
Dayna K Niesen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 414-290-6720 Fax: 414-290-6755
Katelin Marie Selner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8300
Ashley M Spindler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700

Benjamin Michael Moreau, PA - Medicare Physician Assistant in Green Bay, WI