Northeast Wisconsin Foot And Ankle Assoc., S.c. | |
1301 E Northland Ave, Ste B, Appleton, WI 54911-8426 | |
(920) 731-1999 | |
(920) 731-3729 |
Full Name | Northeast Wisconsin Foot And Ankle Assoc., S.c. |
---|---|
Type | Facility |
Speciality | Podiatrist - Primary Podiatric Medicine |
Location | 1301 E Northland Ave, Appleton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093716177 | NPI | - | NPPES |
43222200 | Medicaid | WI | |
1093716177 | Other | WI | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213EP1101X | Podiatrist - Primary Podiatric Medicine | 902-025 (Wisconsin) | Secondary |
213EP1101X | Podiatrist - Primary Podiatric Medicine | 604-025 (Wisconsin) | Primary |
Provider Name | Theresa L Schinke |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1043210594 PECOS PAC ID: 9830133966 Enrollment ID: I20050620000128 |
Provider Name | Todd A Derksen |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1053578682 PECOS PAC ID: 5496821068 Enrollment ID: I20080904000627 |
Provider Name | Timothy Kevin Tougas |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1093711491 PECOS PAC ID: 9931141264 Enrollment ID: I20100817000056 |
Provider Name | Kara L Brochtrup |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467702241 PECOS PAC ID: 7810148004 Enrollment ID: I20121116000273 |
Provider Name | Marissa Mcnelly Le |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1295149391 PECOS PAC ID: 8224253414 Enrollment ID: I20170721001318 |
Mailing Address | Practice Location Address |
---|---|
Northeast Wisconsin Foot And Ankle Assoc., S.c. 1301 E. Northland Ave, Suite B, Appleton, WI 54911 Ph: (920) 731-1999 | Northeast Wisconsin Foot And Ankle Assoc., S.c. 1301 E Northland Ave, Ste B, Appleton, WI 54911-8426 Ph: (920) 731-1999 |
Dr. Theresa Lynn Schinke, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1301 E Northland Ave, Ste B, Appleton, WI 54911 Phone: 920-731-1999 Fax: 920-731-3729 | |
Dr. Todd Alan Derksen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1301 E Northland Ave, Ste B, Appleton, WI 54911 Phone: 920-731-1999 Fax: 920-731-3729 | |
Dr. Timothy Kevin Tougas, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1301 E Northland Ave, Suite B, Appleton, WI 54911 Phone: 920-731-1999 Fax: 920-731-3729 | |
Neal Diabetic Foot And Ankle Center Llc Podiatrist Medicare: Medicare Enrolled Practice Location: W2654 County Road Kk, Appleton, WI 54915 Phone: 920-830-2221 Fax: 920-257-2180 | |
Barry Ellis Erdman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2005 S Lake Park Rd, Appleton, WI 54915 Phone: 920-882-9990 Fax: 920-882-9544 | |
Marissa Mcnelly Le, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1301 E Northland Ave Ste B, Appleton, WI 54911 Phone: 207-311-9999 Fax: 920-731-3729 |