| Dr Benjamin E Phillips, MD | |
|
1111 Bayshore Dr, Manitowoc, WI 54220-5548 | |
| (920) 684-4429 | |
| (920) 684-6892 |
| Full Name | Dr Benjamin E Phillips |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 28 Years |
| Location | 1111 Bayshore Dr, Manitowoc, 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 |
|---|---|---|---|
| 1003808676 | NPI | - | NPPES |
| 34181000 | Medicaid | WI | |
| 0376640002 | Other | WI | ADMINASTAR FEDERAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 44214-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Ctr Manitowoc County | Two rivers, WI | Hospital |
| Holy Family Memorial | Manitowoc, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Clinic Llp | 4385554328 | 190 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin E Phillips, MD 1035 Kepler Dr, Green Bay, WI 54311-8320 Ph: (920) 490-9046 | Dr Benjamin E Phillips, MD 1111 Bayshore Dr, Manitowoc, WI 54220-5548 Ph: (920) 684-4429 |
Dr. Donald Allen Schlernitzauer, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6633 Hartlaub Lake Rd, Manitowoc, WI 54220 Phone: 920-758-2197 | |
Dr. Steven P Gainey, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1111 Bayshore Dr, Manitowoc, WI 54220 Phone: 920-684-4429 Fax: 920-684-6892 | |
Dr. Donald R Lewellen, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4801 Expo Dr, Manitowoc, WI 54220 Phone: 920-684-4429 Fax: 920-684-6892 |