| Breanna M O'neil, MD | |
|
5000 Memorial Dr, Two Rivers, WI 54241-3900 | |
| (920) 794-5000 | |
| Not Available |
| Full Name | Breanna M O'neil |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 5000 Memorial Dr, Two Rivers, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407384043 | NPI | - | NPPES |
| 100212240 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 77378 (Wisconsin) | Primary |
| 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 | Aurora Health Care North Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477508687 PECOS PAC ID: 9436067402 Enrollment ID: O20040211000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna M O'neil, MD 5000 Memorial Dr, Two Rivers, WI 54241-3900 Ph: (920) 794-5000 | Breanna M O'neil, MD 5000 Memorial Dr, Two Rivers, WI 54241-3900 Ph: (920) 794-5000 |
Dr. David Dean Copp, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 | |
Dr. Charles D Pratt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5125 | |
Dr. Steven Bradley Goldin, MD PHD MPH CPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7300 | |
Laura Peck, Surgery Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7300 | |
Dr. John Charles Zeldenrust, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7300 |