| Dr Etienne A Mejia, MD | |
|
277 Altenhofen Dr, Appleton, WI 54913-8401 | |
| (920) 993-1643 | |
| (920) 993-1645 |
| Full Name | Dr Etienne A Mejia |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 37 Years |
| Location | 277 Altenhofen Dr, Appleton, 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 |
|---|---|---|---|
| 1184648131 | NPI | - | NPPES |
| 391821816017 | Other | WI | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 41224 (Wisconsin) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 41224 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sports Medicine Center S C | 0648265801 | 2 |
| Entity Name | Sports Medicine Center S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093729055 PECOS PAC ID: 0648265801 Enrollment ID: O20040416001250 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Etienne A Mejia, MD 277 Altenhofen Dr, Appleton, WI 54913-8401 Ph: (920) 993-1643 | Dr Etienne A Mejia, MD 277 Altenhofen Dr, Appleton, WI 54913-8401 Ph: (920) 993-1643 |
Thomas G Hoeft, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St, Appleton, WI 54915 Phone: 920-996-3700 Fax: 920-996-3739 | |
Ryan Lubbe, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2323 N Casaloma Dr, Appleton, WI 54913 Phone: 920-730-8833 | |
Thomas James France, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2323 N Casaloma Dr, Appleton, WI 54913 Phone: 920-730-8833 Fax: 920-738-1974 | |
Karen Fields, PA Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2105 E. Enterprise Dr, Appleton, WI 54913 Phone: 920-731-3111 Fax: 920-738-8789 | |
Eric W Erickson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050 | |
Dr. David Albert Liebelt, M.D., PH.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050 |