Primary Care Associates Of Appleton, Ltd | |
3916 N Intertech Ct Appleton WI 54913 | |
(920) 996-1046 | |
(920) 996-1054 |
Full Name | Primary Care Associates Of Appleton, Ltd |
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Speciality | Family Medicine |
Location | 3916 N Intertech Ct, Appleton, Wisconsin |
Authorized Official Name and Position | James Vandermissen (CEO) |
Authorized Official Contact | 9209961046 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Associates Of Appleton, Ltd 3916 N Intertech Ct Appleton WI 54913 Ph: (920) 996-1046 | Primary Care Associates Of Appleton, Ltd 3916 N Intertech Ct Appleton WI 54913 Ph: (920) 996-1046 |
NPI Number | 1659305654 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 08/15/2019 |
Medicare PECOS PAC ID | 1052348612 |
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Medicare Enrollment ID | O20050726000158 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659305654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Stephen C Fuller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003802638 PECOS PAC ID: 0042209470 Enrollment ID: I20040510001458 |
Provider Name | Travis L Kroner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184689341 PECOS PAC ID: 2062428600 Enrollment ID: I20060306000640 |
Provider Name | Michael A Johnson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467484030 PECOS PAC ID: 8527063627 Enrollment ID: I20060925000091 |
Provider Name | Sonya R Eiben |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710916812 PECOS PAC ID: 8325043425 Enrollment ID: I20060925000101 |
Provider Name | Edward J Szabo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093700403 PECOS PAC ID: 4981609005 Enrollment ID: I20060925000250 |
Provider Name | Aaron S Douglas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346252442 PECOS PAC ID: 0648276196 Enrollment ID: I20061006000161 |
Provider Name | Michelle H Williamson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376652990 PECOS PAC ID: 7517963945 Enrollment ID: I20061009000112 |
Provider Name | Gehrig R Williamson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326157033 PECOS PAC ID: 4981601358 Enrollment ID: I20061026000529 |
Provider Name | Michael T Werner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811965494 PECOS PAC ID: 3476553777 Enrollment ID: I20070111000088 |
Provider Name | Kristine G Juntunen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790703734 PECOS PAC ID: 0749377281 Enrollment ID: I20071031000509 |
Provider Name | Amanda R Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306010004 PECOS PAC ID: 7911076716 Enrollment ID: I20080520000444 |
Provider Name | Tara L Frerks |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932353315 PECOS PAC ID: 2062560378 Enrollment ID: I20090424000326 |
Provider Name | Merici A Awe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225083488 PECOS PAC ID: 1355494139 Enrollment ID: I20090727000205 |
Provider Name | Wendy L Schroeder |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487691408 PECOS PAC ID: 5890848683 Enrollment ID: I20090727000301 |
Provider Name | Jessica R Johnston-rickert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487691119 PECOS PAC ID: 2769538982 Enrollment ID: I20090914000163 |
Provider Name | Eugene C Rigstad |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831134352 PECOS PAC ID: 4183768575 Enrollment ID: I20100223000805 |
Provider Name | Matthew S Oetken |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528097680 PECOS PAC ID: 3173650587 Enrollment ID: I20100415000961 |
Provider Name | Douglas R Meyer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245226877 PECOS PAC ID: 4688761976 Enrollment ID: I20100827000547 |
Provider Name | Amy H Servais |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326033291 PECOS PAC ID: 0042247611 Enrollment ID: I20100911000027 |
Provider Name | Samuel Heiks |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013176312 PECOS PAC ID: 2365692431 Enrollment ID: I20130524000286 |
Provider Name | David Lenz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528089034 PECOS PAC ID: 8921248360 Enrollment ID: I20130729000808 |
Provider Name | Roxanne Radich |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639165962 PECOS PAC ID: 5991608325 Enrollment ID: I20140912001156 |
Provider Name | Roderick L Hubert |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942350947 PECOS PAC ID: 0749262855 Enrollment ID: I20150527002968 |
Provider Name | Jamie L Renard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528334737 PECOS PAC ID: 8426285230 Enrollment ID: I20150706002687 |
Provider Name | Scott Gyorog |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235346586 PECOS PAC ID: 3971799396 Enrollment ID: I20160317000965 |
Provider Name | Andrew D Papendieck |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992186829 PECOS PAC ID: 6103135710 Enrollment ID: I20200210001250 |
Provider Name | Corey Stephan Macrander |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346747755 PECOS PAC ID: 2163779356 Enrollment ID: I20210809002568 |
Provider Name | Ashley C Feistel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902547904 PECOS PAC ID: 6901293091 Enrollment ID: I20220511000024 |
Provider Name | Michael J Van Abel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003445735 PECOS PAC ID: 9133509722 Enrollment ID: I20230914002855 |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 N Richmond St, Appleton, WI 54911 Phone: 920-380-2715 | |
Life Wellness Center - Appleton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Innovation Ct Ste B, Appleton, WI 54914 Phone: 920-727-7223 | |
Thedacare At Work Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2809 N. Park Drive Lane, Appleton, WI 54911 Phone: 920-380-4999 Fax: 920-380-4961 | |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St Ste 580, Appleton, WI 54915 Phone: 920-738-2000 | |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, 5th Floor, Appleton, WI 54915 Phone: 920-730-4950 | |
East Wind Healthcare, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Richmond St, Suite C, Appleton, WI 54911 Phone: 920-997-0511 | |
Associates In Gastroenterology Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-738-7300 Fax: 920-738-7301 |