Dr Lloyd Charles Cassidy Iv, MD | |
124 Siegler St, Green Bay, WI 54303-2636 | |
(920) 605-3115 | |
(920) 486-6826 |
Full Name | Dr Lloyd Charles Cassidy Iv |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 124 Siegler 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 |
---|---|---|---|
1457795569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036144493 (Illinois) | Secondary |
207Q00000X | Family Medicine | Q6620 (Texas) | Secondary |
207Q00000X | Family Medicine | 70125 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare At Home | Appleton, WI | Hospice |
Thedacare Medical Center - Shawano | Shawano, WI | Hospital |
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kennekuk Emergency Physicians Llc | 0244395739 | 15 |
Thedacare Incorporated | 1759294887 | 493 |
Thedacare Medical Center - Shawano, Inc. | 5890605836 | 31 |
Entity Name | Kennekuk Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659523777 PECOS PAC ID: 0244395739 Enrollment ID: O20090217000467 |
Mailing Address | Practice Location Address |
---|---|
Dr Lloyd Charles Cassidy Iv, MD 353 N Desplaines St Apt 607, Chicago, IL 60661-1245 Ph: (847) 502-2979 | Dr Lloyd Charles Cassidy Iv, MD 124 Siegler St, Green Bay, WI 54303-2636 Ph: (920) 605-3115 |
Dr. Rachael E. Vanden Langenberg, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6700 | |
Bradley Jay Fedderly, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 Fax: 414-762-4225 | |
Amy M Romandine Kratz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1727 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Barbara H Franck, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 Challenger Dr Ste 191, Green Bay, WI 54311 Phone: 920-412-9737 Fax: 920-489-2247 | |
Matthew Krueger Jenson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Siegler St, Green Bay, WI 54303 Phone: 920-494-9661 Fax: 920-496-3792 | |
Trent J Auguston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Voyager Dr, Green Bay, WI 54311 Phone: 920-496-4700 | |
Julie A Magnin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7300 Fax: 920-327-7301 |