Bellin Health Oconto Falls | |
107 E Highland Dr Oconto Falls WI 54154-1002 | |
(920) 846-3092 | |
(920) 846-8313 |
Full Name | Bellin Health Oconto Falls |
---|---|
Speciality | Clinic/Center |
Location | 107 E Highland Dr, Oconto Falls, Wisconsin |
Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9204457226 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bellin Health Oconto Falls Po Box 1866 Green Bay WI 54305-1866 Ph: (920) 445-7222 | Bellin Health Oconto Falls 107 E Highland Dr Oconto Falls WI 54154-1002 Ph: (920) 846-3092 |
NPI Number | 1063038313 |
---|---|
Provider Enumeration Date | 06/23/2020 |
Last Update Date | 03/04/2021 |
Medicare PECOS PAC ID | 2163461781 |
---|---|
Medicare Enrollment ID | O20201013002747 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063038313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | James W Gast |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710961529 PECOS PAC ID: 4981653938 Enrollment ID: I20060120000793 |
Fmc Oconto Falls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E Highland Dr, Oconto Falls, WI 54154 Phone: 920-846-3092 Fax: 920-846-8313 | |
St Clare Memorial Hospital Oconto Falls Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 835 S Main St, Suite 1, Oconto Falls, WI 54154 Phone: 920-846-8187 Fax: 920-846-2073 |