Dr Kevin S Dougherty, DO | |
1726 Shawano Ave, Green Bay, WI 54303-3216 | |
(414) 290-6720 | |
(414) 290-6755 |
Full Name | Dr Kevin S Dougherty |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1726 Shawano Ave, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922412279 | NPI | - | NPPES |
Entity Name | Green Bay Emergency Physicians, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612212 PECOS PAC ID: 6901879303 Enrollment ID: O20040813001226 |
Entity Name | Vituity-wisconsin Em Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326730664 PECOS PAC ID: 2466814538 Enrollment ID: O20230822001554 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin S Dougherty, DO 707 Sheridan Ave, Cody, WY 82414-3409 Ph: (307) 578-2000 | Dr Kevin S Dougherty, DO 1726 Shawano Ave, Green Bay, WI 54303-3216 Ph: (414) 290-6720 |
Katie Lynn Lloyd, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Darren M Heesacker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Steven J Stroman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Edward C Vogel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Dr. David Franklin Edwards, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6000 Fax: 920-433-6009 | |
Dr. David Alan Sorrentino, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Dr. Ryan Thomas Murphy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 |