| Douglas B Moericke, PA | |
|
18601 Lincoln St, Whitehall, WI 54773-8605 | |
| (715) 538-4361 | |
| Not Available |
| Full Name | Douglas B Moericke |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 18601 Lincoln St, Whitehall, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366446841 | NPI | - | NPPES |
| 42940400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 492 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas B Moericke, PA 18601 Lincoln St, Whitehall, WI 54773-8605 Ph: (715) 538-1712 | Douglas B Moericke, PA 18601 Lincoln St, Whitehall, WI 54773-8605 Ph: (715) 538-4361 |
Mr. Mark R Zellmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18606 Ervin St, Whitehall, WI 54773 Phone: 715-538-4355 | |
Brian S Vike, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18606 Ervin St, Whitehall, WI 54773 Phone: 715-538-4355 | |
Samuel A Wolfe, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-4361 | |
Jeffery Scott Herried, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 18606 Ervin St, Whitehall, WI 54773 Phone: 715-538-4355 | |
Caitlin Marie Luttropp, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-4361 | |
Bethany Rose Yard, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18601 Lincoln Street, Whitehall, WI 54773 Phone: 715-538-4361 Fax: 715-538-2912 |