Gina M Suchocki, | |
112 N Us Highway 141, Crivitz, WI 54114-1708 | |
(715) 854-3940 | |
(715) 854-3941 |
Full Name | Gina M Suchocki |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 112 N Us Highway 141, Crivitz, 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 |
---|---|---|---|
1770018756 | NPI | - | NPPES |
100067621 | Medicaid | WI | |
473548414 | Other | WI | TAX ID FOR AURORA BAY AREA MEDICAL GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 7658-33 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 7658 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bay Area Medical Center | Marinette, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
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 |
---|---|
Gina M Suchocki, Po Box 735044, Chicago, IL 60673-5044 Ph: (715) 854-3940 | Gina M Suchocki, 112 N Us Highway 141, Crivitz, WI 54114-1708 Ph: (715) 854-3940 |
Amel Mohamed Elshaier, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 N Us Highway 141, Crivitz, WI 54114 Phone: 715-854-7050 Fax: 715-854-3485 | |
Suzette M Bornemann, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 S Hwy 141, Crivitz, WI 54114 Phone: 715-854-7477 Fax: 715-854-7785 |