| Jerald Dietrich Charles, PA-C | |
|
2845 Greenbrier Rd, Green Bay, WI 54311-6519 | |
| (920) 288-8320 | |
| Not Available |
| Full Name | Jerald Dietrich Charles |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 2845 Greenbrier Rd, 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 |
|---|---|---|---|
| 1396284154 | NPI | - | NPPES |
| 100068010 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 4028-023 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Aurora Llc | 0244130557 | 175 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerald Dietrich Charles, PA-C 164 N. Broadway, Green Bay, WI 54303-2728 Ph: (920) 490-9046 | Jerald Dietrich Charles, PA-C 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-8320 |
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 |