| Dr Jeremy Robert Anclam, DO | |
|
1900 Woodland Dr, Manitowoc, WI 54220-9662 | |
| (920) 320-6212 | |
| (920) 684-5548 |
| Full Name | Dr Jeremy Robert Anclam |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 18 Years |
| Location | 1900 Woodland Dr, Manitowoc, 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 |
|---|---|---|---|
| 1841495058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101017285 (Michigan) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 60788 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Family Memorial | Manitowoc, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Froedtert Manitowoc Medical Group, Llc | 2365836954 | 137 |
| Entity Name | Froedtert Manitowoc Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Robert Anclam, DO Po Box 2290, Manitowoc, WI 54221-2290 Ph: (920) 320-2591 | Dr Jeremy Robert Anclam, DO 1900 Woodland Dr, Manitowoc, WI 54220-9662 Ph: (920) 320-6212 |
Vladimir N Swerchowsky, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000 | |
Mary A Govier, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Manitowoc, WI 54220 Phone: 920-320-6212 Fax: 920-684-5548 | |
Dr. Pooja Bharat Patel, MD, MBS Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 262-505-9131 | |
Tamiru Ertiro Tumdedo, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
Dr. Michael J Rosenberg, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000 | |
Matthew Gentile, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3000 Fax: 920-320-3049 | |
Mark Leonard Herring, M.D. Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 1355 Johnston Dr, Manitowoc, WI 54220 Phone: 920-682-2747 Fax: 920-686-1498 |