| Dr Mark R Kroll, DO | |
|
2253 W Mason St, Green Bay, WI 54303-4706 | |
| (920) 327-7000 | |
| Not Available |
| Full Name | Dr Mark R Kroll |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 2253 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 |
|---|---|---|---|
| 1124030499 | NPI | - | NPPES |
| 30049600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30436-21 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 30436-21 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Aurora Llc | 0244130557 | 187 |
| Entity Name | Baycare Clinic Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Baycare Aurora Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
| Entity Name | Independent Physicians Of Wisconsin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871975920 PECOS PAC ID: 3274842034 Enrollment ID: O20151016001548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark R Kroll, DO Po Box 28900, Green Bay, WI 54324-0900 Ph: (920) 490-9046 | Dr Mark R Kroll, DO 2253 W Mason St, Green Bay, WI 54303-4706 Ph: (920) 327-7000 |
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 | |
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 | |
Dr. Jill P Harman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 Fax: 920-433-7932 |