Philip M Micksch, NP | |
5300 Memorial Dr, Suite 303, Two Rivers, WI 54241-3923 | |
(920) 793-6550 | |
(920) 793-6551 |
Full Name | Philip M Micksch |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 5300 Memorial Dr, Two Rivers, 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 |
---|---|---|---|
1669832887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 6871 - 33 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 6871-33 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Ctr Manitowoc County | Two rivers, WI | Hospital |
Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baycare Aurora Llc | 0244130557 | 175 |
Entity Name | Baycare Aurora Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
Mailing Address | Practice Location Address |
---|---|
Philip M Micksch, NP 5300 Memorial Dr, Suite 303, Two Rivers, WI 54241-3923 Ph: (920) 793-6550 | Philip M Micksch, NP 5300 Memorial Dr, Suite 303, Two Rivers, WI 54241-3923 Ph: (920) 793-6550 |
Joanna Smogoleski, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7400 Fax: 920-793-7402 | |
Lisa A Kumbalek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7300 Fax: 920-793-7391 | |
Madelyn E Boney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2219 Garfield St, Two Rivers, WI 54241 Phone: 920-793-2281 Fax: 920-793-2281 | |
Erica L Dessart, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7420 Fax: 920-793-7430 | |
Mrs. Mackenzie L Zuleger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 | |
Ms. Amy J Schleunes, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7400 | |
Carey L Willman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2219 Garfield St, Two Rivers, WI 54241 Phone: 920-793-2281 |