| Dr Nels J Rose, DO | |
|
1500 Arbor Way, Kaukauna, WI 54130-7305 | |
| (920) 372-7300 | |
| (920) 372-7305 |
| Full Name | Dr Nels J Rose |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 15 Years |
| Location | 1500 Arbor Way, Kaukauna, 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 |
|---|---|---|---|
| 1225328727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 62267-21 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Aurora Medical Ctr Manitowoc County | Two rivers, WI | Hospital |
| Bay Area Medical Center | Marinette, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Aurora Llc | 0244130557 | 200 |
| Baycare Clinic Llp | 4385554328 | 197 |
| Aurora Health Care North Inc | 9436067402 | 18 |
| Aurora Medical Group, Inc. | 6709794258 | 3716 |
| 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 | Aurora Health Care North Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477508687 PECOS PAC ID: 9436067402 Enrollment ID: O20040211000368 |
| Entity Name | Aurora Health Care Central, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053107 PECOS PAC ID: 4688583677 Enrollment ID: O20040308000588 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nels J Rose, DO 1035 Kepler Dr, Green Bay, WI 54311-8320 Ph: (920) 490-9046 | Dr Nels J Rose, DO 1500 Arbor Way, Kaukauna, WI 54130-7305 Ph: (920) 372-7300 |
Quinton Jarrett Peters, ATC, LAT, EMT-B Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1510 Green Bay Rd, Kaukauna, WI 54130 Phone: 715-498-1996 | |
Patricia M Demery, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: N9554 Highline Rd, Kaukauna, WI 54130 Phone: 920-277-9716 Fax: 920-766-1415 |