| Amy S Coulthard-atwater, DO | |
|
1500 Arbor Way, Kaukauna, WI 54130-7305 | |
| (920) 766-3200 | |
| Not Available |
| Full Name | Amy S Coulthard-atwater |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 1500 Arbor Way, Kaukauna, 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 |
|---|---|---|---|
| 1851369144 | NPI | - | NPPES |
| 43544200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 48375 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Aurora Llc | 0244130557 | 187 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Baycare Aurora Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy S Coulthard-atwater, DO 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2377 | Amy S Coulthard-atwater, DO 1500 Arbor Way, Kaukauna, WI 54130-7305 Ph: (920) 766-3200 |
Dr. Paul H Russo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Dr. Joseph C Graunke, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Dr. Bruce R Danz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Dr. Timothy P Culligan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Dr. Gregory A Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 305 East 12th Street, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Dr. Jennifer L Schoening, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 |