Bellevue Total Health, Sc is a
Nurse Practitioner - Occupational Health based in Green Bay, Wisconsin. Bellevue Total Health, Sc is licensed to practice in Wisconsin (license number 1221-033) and their current practice location is
2763 Manitowoc Rd, Ste B, Green Bay, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(920) 468-8288.
NPI number for Bellevue Total Health, Sc is 1447203013 and their current mailing address is 2763 Manitowoc Rd, Ste B, Green Bay, Wisconsin. Bellevue Total Health, Sc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1447203013.
Healthcare Provider's Profile
| Full Name | Bellevue Total Health, Sc |
|---|
| Type | Facility |
|---|
| Speciality | Nurse Practitioner - Occupational Health |
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| Location | 2763 Manitowoc Rd, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447203013
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Bellevue Total Health, Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447203013 | NPI | - | NPPES |
| 21250700 | Medicaid | WI | |
| 39002800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2502-012 (Wisconsin) | Primary |
| 111N00000X | Chiropractor | 4214-012 (Wisconsin) | Primary |
| 207R00000X | Internal Medicine | 25884-020 (Wisconsin) | Primary |
| 363LX0106X | Nurse Practitioner - Occupational Health | 1221-033 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bellevue Total Health, Sc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bellevue Total Health, Sc
2763 Manitowoc Rd, Ste B,
Green Bay, WI 54311-6633
Ph: (920) 468-8288 | Bellevue Total Health, Sc
2763 Manitowoc Rd, Ste B,
Green Bay, WI 54311-6633
Ph: (920) 468-8288 |
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