| Dr Jack Komro, DO | |
|
1087 W Mason St, Green Bay, WI 54303-1859 | |
| (920) 499-3102 | |
| Not Available |
| Full Name | Dr Jack Komro |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 5 Years |
| Location | 1087 W Mason St, 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 |
|---|---|---|---|
| 1134700719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | V6616 (Texas) | Secondary |
| 207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | 82077-21 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jps Health Network | Fort worth, TX | Hospital |
| Parkland Health & Hospital System | Dallas, TX | Hospital |
| Ut Southwestern University Hospital - William P. Clements Jr. | Dallas, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Texas Southwestern Medical Center At Dallas | 0648188250 | 3195 |
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Komro, DO 1087 W Mason St, Green Bay, WI 54303-1859 Ph: (920) 499-3102 | Dr Jack Komro, DO 1087 W Mason St, Green Bay, WI 54303-1859 Ph: (920) 499-3102 |
Larry A Meyer, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St Ste 100, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 | |
Dr. William Joseph Reynders, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 | |
Kevin P Wienkers, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 | |
Karl Lee Schwiesow, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1087 W Mason Street, Green Bay, WI 54303 Phone: 920-499-3102 Fax: 920-499-9636 | |
Kurt August Schwiesow, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1087 W Mason Street, Green Bay, WI 54303 Phone: 920-499-3102 Fax: 920-499-9636 | |
Mark T Duffy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 |