| Dr Michael A Janitch, MD | |
|
1715 Dousman St, Green Bay, WI 54303-3211 | |
| (920) 496-4700 | |
| (920) 405-1432 |
| Full Name | Dr Michael A Janitch |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 32 Years |
| Location | 1715 Dousman 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 |
|---|---|---|---|
| 1366438798 | NPI | - | NPPES |
| 34084200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 42240020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Hospital Medical Center | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 567 |
| Entity Name | Prevea Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
| Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael A Janitch, MD 2461 Holmgren Way, Green Bay, WI 54304-5224 Ph: (920) 496-4700 | Dr Michael A Janitch, MD 1715 Dousman St, Green Bay, WI 54303-3211 Ph: (920) 496-4700 |
Edgar (ted) King Collison Iv, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1715 Dousman St, Green Bay, WI 54303 Phone: 920-496-4700 | |
Dr. Peter V Gapinski, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, #120, Green Bay, WI 54308 Phone: 920-288-8100 | |
Dr. Teresa A Gonzaga, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240 Fax: 920-857-1488 | |
Carrie Ann Thoms, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-436-1379 | |
Daniel Williams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Karri Adamson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2605 Development Dr, Green Bay, WI 54311 Phone: 920-288-8240 | |
Daniel Joseph Budreau, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8250 |