| Synergy Medical Services Llc | |
|
2480 Marina Cir Unit 114 Green Bay WI 54304-4875 | |
| (920) 360-6282 | |
| (920) 283-1278 |
| Full Name | Synergy Medical Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2480 Marina Cir Unit 114, Green Bay, Wisconsin |
| Authorized Official Name and Position | James M Williams (OWNER / PRESIDENT) |
| Authorized Official Contact | 9205732107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Medical Services Llc 2480 Marina Cir Unit 114 Green Bay WI 54304-4875 Ph: (920) 360-6282 | Synergy Medical Services Llc 2480 Marina Cir Unit 114 Green Bay WI 54304-4875 Ph: (920) 360-6282 |
| NPI Number | 1366820904 |
|---|---|
| Provider Enumeration Date | 05/15/2015 |
| Last Update Date | 03/09/2021 |
| Medicare PECOS PAC ID | 5294056743 |
|---|---|
| Medicare Enrollment ID | O20150811004371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366820904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 44378-20 (Wisconsin) | Primary |
| Provider Name | James M Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407849433 PECOS PAC ID: 2961470919 Enrollment ID: I20040917001076 |
| Provider Name | Mary K Friess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750479820 PECOS PAC ID: 5294732178 Enrollment ID: I20061107000429 |
| Provider Name | Marcia R Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760875793 PECOS PAC ID: 6406176577 Enrollment ID: I20150513002679 |
| Provider Name | Lora Marie Moericke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801235858 PECOS PAC ID: 4880904515 Enrollment ID: I20151110001272 |
| Provider Name | M Christine Meulemans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841673829 PECOS PAC ID: 3678849312 Enrollment ID: I20171024001900 |
| Provider Name | Mohammad Q Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023037009 PECOS PAC ID: 7810093812 Enrollment ID: I20200909000525 |
| Provider Name | Jawad Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104834282 PECOS PAC ID: 5597720615 Enrollment ID: I20201109002189 |
| Provider Name | Paulette Jo Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932717410 PECOS PAC ID: 9830338219 Enrollment ID: I20210610001326 |
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