| Dr Brian M Brotz, MD | |
|
425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | |
| (715) 845-5505 | |
| (715) 848-2884 |
| Full Name | Dr Brian M Brotz |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 40 Years |
| Location | 425 Pine Ridge Blvd, Wausau, 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 |
|---|---|---|---|
| 1427084029 | NPI | - | NPPES |
| 391330887 | Other | WI | ASSOCIATES FOR HEALTHCARE |
| P00084315 | Other | WI | RAILROAD MEDICARE |
| 40758 | Other | WI | SECURITY HEALTH MEDICAID |
| BROTZ | Other | WI | WPS |
| 002139110 | Other | WI | HUMANA GOLD MEDICARE |
| 31933300 | Other | WI | MANAGED HEALTH CARE |
| 40758 | Other | WI | SECURITY HEALTH PLAN |
| 31933300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 34208020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Agnes Hospital | Fond du lac, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073832218 PECOS PAC ID: 5890604722 Enrollment ID: O20101101000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian M Brotz, MD 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 Ph: (715) 845-5505 | Dr Brian M Brotz, MD 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 Ph: (715) 845-5505 |
Nam D Doan, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401 Phone: 715-845-5505 Fax: 715-848-2884 | |
Debra K Markwardt, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401 Phone: 715-845-5505 Fax: 715-848-2884 | |
Dr. William J Holm, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401 Phone: 715-845-5505 Fax: 715-848-2884 | |
Dr. Suzanne G.h. Low, Anesthesiology Medicare: Medicare Enrolled Practice Location: 6209 Lakeshore Dr., Wausau, WI 54401 Phone: 715-359-0299 Fax: 715-355-2159 | |
Robert M Mcgucken, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3000 Fax: 715-847-3329 | |
Andrew G Drewry, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401 Phone: 715-845-5505 Fax: 715-848-2884 | |
Thomas Roy Hogan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401 Phone: 715-845-5505 Fax: 715-848-2884 |