Matthew Robert Neerdaels, CAA | |
744 S Webster Ave, Green Bay, WI 54301-3581 | |
(920) 433-3500 | |
Not Available |
Full Name | Matthew Robert Neerdaels |
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Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 744 S Webster Ave, 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 |
---|---|---|---|
1225723463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 531-17 (Wisconsin) | Primary |
Entity Name | Bellin Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194473066 PECOS PAC ID: 8628980943 Enrollment ID: O20220620000485 |
Mailing Address | Practice Location Address |
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Matthew Robert Neerdaels, CAA Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 433-3500 | Matthew Robert Neerdaels, CAA 744 S Webster Ave, Green Bay, WI 54301-3581 Ph: (920) 433-3500 |
Steven Thanh Ho, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589 | |
Andrew Russell Kost, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589 | |
Jeremy T Knoble, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589 | |
Cassandra R Krueger, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 | |
Ashley L Diedrich, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589 | |
Alex Jonathan Green, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589 |