| Dr Daniel P Hertel, MD | |
|
2845 Greenbrier Rd, Green Bay, WI 54311-6519 | |
| (920) 288-8100 | |
| (920) 288-8462 |
| Full Name | Dr Daniel P Hertel |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 11 Years |
| Location | 2845 Greenbrier Rd, 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 |
|---|---|---|---|
| 1285047373 | NPI | - | NPPES |
| 100080603 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 69868 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel P Hertel, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Daniel P Hertel, MD 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-8100 |
Frances Stahl Ballo, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2806 Riverview Dr, Green Bay, WI 54313 Phone: 920-498-7546 Fax: 920-569-4129 | |
Dr. Michael James Smullen, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1239 W Mason St, Green Bay, WI 54303 Phone: 920-499-0696 Fax: 920-499-0697 | |
Eduardo K Moioli, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 | |
Timothy Richard Von Seth, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2360 Duck Creek Pkwy, Green Bay, WI 54303 Phone: 920-965-0345 | |
Kevan G Lewis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3059 Voyager Dr, Green Bay, WI 54311 Phone: 920-965-0345 Fax: 920-257-4559 | |
Paul Michael Stover, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2806 Riverview Dr, Green Bay, WI 54313 Phone: 920-498-7546 Fax: 920-569-4129 |