Jacob Alan Menard, APNP | |
720 S Vanburen Street, Ste 301, Green Bay, WI 54301 | |
(920) 433-9400 | |
(920) 455-9409 |
Full Name | Jacob Alan Menard |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 720 S Vanburen Street, 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 |
---|---|---|---|
1386360139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 13206-33 (Wisconsin) | Primary |
Entity Name | Urology Associates Of Green Bay Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427067263 PECOS PAC ID: 1658350616 Enrollment ID: O20040714001388 |
Mailing Address | Practice Location Address |
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Jacob Alan Menard, APNP 720 S Vanburen Street, Ste 301, Green Bay, WI 54301 Ph: (920) 433-9400 | Jacob Alan Menard, APNP 720 S Vanburen Street, Ste 301, Green Bay, WI 54301 Ph: (920) 433-9400 |
Elizabeth Ostoja, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1976 Lime Kiln Rd, Green Bay, WI 54311 Phone: 920-445-7377 Fax: 920-592-9479 | |
Tammy Ann Motquin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226 | |
Mary C Fox, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3237 Voyager Dr, Green Bay, WI 54311 Phone: 920-468-8288 | |
Mrs. Kristen Kay Lampe, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 720 S Van Buren St, Suite 201, Green Bay, WI 54301 Phone: 920-433-7488 | |
Nicole L Lowe, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7300 Fax: 920-327-7348 | |
Mr. Cristian A Vasiliev, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800 | |
Corinne Elizabeth George, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 Fax: 920-445-7301 |