| Dr Lisa C Palmer, DO | |
|
2060 Bellevue St, Green Bay, WI 54311-5622 | |
| (920) 965-0606 | |
| (920) 965-0607 |
| Full Name | Dr Lisa C Palmer |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Hematology-oncology |
| Location | 2060 Bellevue St, 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 |
|---|---|---|---|
| 1972628162 | NPI | - | NPPES |
| 3810008325 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 63183 (Wisconsin) | Primary |
| Entity Name | Hemophilia Outreach Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851390686 PECOS PAC ID: 6507948593 Enrollment ID: O20080130000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa C Palmer, DO 2060 Bellevue St, Green Bay, WI 54311-5622 Ph: (920) 965-0606 | Dr Lisa C Palmer, DO 2060 Bellevue St, Green Bay, WI 54311-5622 Ph: (920) 965-0606 |
Mary Lynn Bartel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 835 S Van Buren St, Room 1041, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705 | |
Kathleen Marie Barkow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-436-1319 | |
Kristina Ann Houn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2793 Lineville Rd, Green Bay, WI 54313 Phone: 920-496-4700 | |
George E Whetmore, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-436-1319 | |
Dr. Robert Michael Rock Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 835 S. Vanburen St., Green Bay, WI 54301 Phone: 920-433-8360 Fax: 920-431-3163 | |
James F Winston, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-8360 | |
Dr. Youssef Ahmed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 |