<unavail> in Green Bay, WI - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Green Bay, Wisconsin. The current practice location for is 2292 Main St, Green Bay, Wisconsin. For appointments, you can reach them via phone at (920) 465-7990. The mailing address for is Po Box 22576, Green Bay, Wisconsin and phone number is (920) 469-7970.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1225269848. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (920) 465-7990.

Contact Information


	2292 Main St Green Bay WI 54311-5307
	(920) 465-7990
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	2292 Main St, Green Bay, Wisconsin
Authorized Official Name and Position	Todd M Lenhard (OWNER)
Authorized Official Contact	9204697970
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 22576 Green Bay WI 54305-2576 Ph: (920) 469-7970	2292 Main St Green Bay WI 54311-5307 Ph: (920) 465-7990

NPI Details:

NPI Number	1225269848
Provider Enumeration Date	07/30/2009
Last Update Date	07/30/2009

Medicare PECOS Information:

Medicare PECOS PAC ID	7012053473
Medicare Enrollment ID	O20091015000344

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225269848	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Todd M Lenhard
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1568498087 PECOS PAC ID: 0941346308 Enrollment ID: I20091015000338

Reviews and Comments

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- Medicare Primary Care in Green Bay, WI