Gerald John Bannasch, MD | |
711 N Lynndale Dr Ste 1a, Appleton, WI 54914-3078 | |
(920) 560-4525 | |
(920) 560-6618 |
Full Name | Gerald John Bannasch |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 48 Years |
Location | 711 N Lynndale Dr Ste 1a, Appleton, Wisconsin |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528091030 | NPI | - | NPPES |
12705795 | Other | WI | CAQH |
02625083 | Medicaid | WI | |
34094500 | Other | WI | FORWARD HEALTH |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gjb Health Services, Llc | 5496068405 | 3 |
Entity Name | Gjb Health Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659711687 PECOS PAC ID: 5496068405 Enrollment ID: O20150721000083 |
Mailing Address | Practice Location Address |
---|---|
Gerald John Bannasch, MD 711 N Lynndale Dr Ste 1a, Appleton, WI 54914-3078 Ph: (920) 560-4525 | Gerald John Bannasch, MD 711 N Lynndale Dr Ste 1a, Appleton, WI 54914-3078 Ph: (920) 560-4525 |
Dr. Mark T. Rovick, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 444 N Westhill Blvd, Appleton, WI 54914 Phone: 920-750-7000 Fax: 920-364-2451 | |
Dr. Brian Michael Demuri, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 10 Tri Park Way, Appleton, WI 54914 Phone: 920-831-7908 | |
Dr. Padma Reddi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10 Tri Parkway, Appleton, WI 54914 Phone: 920-831-7908 | |
David L Sovine, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St, Appleton, WI 54915 Phone: 920-730-4411 | |
Dr. Herbert Martin Allen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3301 N Ballard Rd, Suite C, Appleton, WI 54911 Phone: 920-202-3954 Fax: 920-202-3964 | |
Michael J Panzer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1531 S Madison Street, #550, Appleton, WI 54915 Phone: 920-738-2700 Fax: 920-738-8051 | |
Richard B Stafford, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3301 N Ballard Rd, Suite C, Appleton, WI 54911 Phone: 920-202-3954 Fax: 920-202-3964 |