| Dr Curtis Coulter Baltz, MD | |
|
333 N Green Bay Rd, Neenah, WI 54956-1954 | |
| (920) 725-2070 | |
| (920) 725-4549 |
| Full Name | Dr Curtis Coulter Baltz |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 333 N Green Bay Rd, Neenah, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316939325 | NPI | - | NPPES |
| 19944 | Other | WV | STATE LICENSE |
| 110034806 | Other | WI | RR MEDICARE |
| 52D0671586 | Other | WV | CLIA |
| 31232600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19944 (Wisconsin) | Primary |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Entity Name | Thedacare Regional Medical Center - Appleton, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902832306 PECOS PAC ID: 2163319039 Enrollment ID: O20040304000064 |
| Entity Name | Thedacare Regional Medical Center-neenah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518993880 PECOS PAC ID: 8921090846 Enrollment ID: O20040401000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Curtis Coulter Baltz, MD 122 E College Ave, Appleton, WI 54911-5794 Ph: (920) 996-3264 | Dr Curtis Coulter Baltz, MD 333 N Green Bay Rd, Neenah, WI 54956-1954 Ph: (920) 725-2070 |
Kelsey Kienert, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Main St, Neenah, WI 54956 Phone: 920-720-1463 | |
Dr. Benjamin J Duffy, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Theda Clark Medical Plz Ste 420, Neenah, WI 54956 Phone: 920-720-7211 | |
William L Nelson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Main St, Neenah, WI 54956 Phone: 920-727-4220 | |
Dr. Barbara L Lauderdale, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 804 E Forest Ave, Neenah, WI 54956 Phone: 920-722-6692 | |
Dr. John Mihailidis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-358-1223 | |
Taylor B Doberstein, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Theda Clark Medical Plz Ste 240, Neenah, WI 54956 Phone: 920-831-5050 Fax: 920-727-4511 | |
James R Burns, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Main St, Neenah, WI 54956 Phone: 920-727-4220 |