| Lisa M Ambrosius, AUD CCCASLP | |
|
1715 Dousman St, Green Bay, WI 54303-3211 | |
| (920) 405-1414 | |
| (920) 405-1462 |
| Full Name | Lisa M Ambrosius |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 17 Years |
| Location | 1715 Dousman St, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487632329 | NPI | - | NPPES |
| 42782500 | Medicaid | WI | |
| 41147800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 1899154 (Wisconsin) | Secondary |
| 231H00000X | Audiologist | 399156 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 546 |
| Provider Name | Baycare Clinic Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
| Provider Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
| Provider Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Ambrosius, AUD CCCASLP 3200 Shore Dr, Marinette, WI 54143-4292 Ph: (715) 735-3187 | Lisa M Ambrosius, AUD CCCASLP 1715 Dousman St, Green Bay, WI 54303-3211 Ph: (920) 405-1414 |
Linda A Zaffke, MS, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800 Fax: 920-431-7024 | |
Joan Huntoon, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2589 Teresa Ct, Green Bay, WI 54311 Phone: 920-619-3550 | |
Josie R Doxtater, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 1860 Shawano Ave, Green Bay, WI 54303 Phone: 920-405-1414 | |
Kelly Jo Gitter, MS CCC Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705 | |
Ms. Kathryn A Engelhardt, AUD. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800 Fax: 920-964-4801 | |
Tess Conklin, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2851 University Ave, Green Bay, WI 54311 Phone: 920-431-2500 | |
Dr. Amanda Rose Hallas Huff, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 |