| Daniel T Mckenna, MD | |
|
2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519 | |
| (920) 288-8250 | |
| (920) 288-8255 |
| Full Name | Daniel T Mckenna |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 22 Years |
| Location | 2845 Greenbrier Rd Ste 230, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255389755 | NPI | - | NPPES |
| 200943060 | Medicaid | IN | |
| 000000624111 | Other | IN | ANTHEM PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 48301 (Wisconsin) | Secondary |
| 208600000X | Surgery | 01066803A (Indiana) | 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 |
| Entity Name | Baycare Clinic Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
| 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 |
|---|---|
| Daniel T Mckenna, MD 164 N Broadway, Green Bay, WI 54303-2728 Ph: () - | Daniel T Mckenna, MD 2845 Greenbrier Rd Ste 230, Green Bay, WI 54311-6519 Ph: (920) 288-8250 |
Edgar (ted) King Collison Iv, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1715 Dousman St, Green Bay, WI 54303 Phone: 920-496-4700 | |
Dr. Peter V Gapinski, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, #120, Green Bay, WI 54308 Phone: 920-288-8100 | |
Dr. Teresa A Gonzaga, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240 Fax: 920-857-1488 | |
Carrie Ann Thoms, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-436-1379 | |
Daniel Williams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Karri Adamson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240 | |
Daniel Joseph Budreau, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8250 |