| Dr Ruth Callaway Warren, DO | |
|
1726 Shawano Ave, Green Bay, WI 54303-3216 | |
| (920) 884-3135 | |
| (920) 884-3144 |
| Full Name | Dr Ruth Callaway Warren |
|---|---|
| Gender | Female |
| Speciality | Medical Oncology |
| Experience | 26 Years |
| Location | 1726 Shawano Ave, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124096185 | NPI | - | NPPES |
| 1124096185 | Other | WI | BCBS ANTHEM |
| 1124096185 | Medicaid | MI | |
| 100004011 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | 5101018539 (Michigan) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | 50362 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Vincent Hospital | Green bay, WI | Hospital |
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| 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 |
| Ascension Ne Wisconsin, Inc | 7719897784 | 27 |
| Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689694911 PECOS PAC ID: 5799694675 Enrollment ID: O20040126000012 |
| Entity Name | Ascension Ne Wisconsin, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407803638 PECOS PAC ID: 7719897784 Enrollment ID: O20061027000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ruth Callaway Warren, DO 1726 Shawano Ave, Green Bay, WI 54303-3216 Ph: (920) 884-3135 | Dr Ruth Callaway Warren, DO 1726 Shawano Ave, Green Bay, WI 54303-3216 Ph: (920) 884-3135 |
Amritha Chandrahasa Karkera, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 | |
Dr. Pamela Rani Sud, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-7451 | |
Yaw D Berko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Lee James Klemens, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705 | |
Dr. Kevin L Mortara, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659 | |
William T Witmer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311 Phone: 920-288-8300 Fax: 920-288-8305 | |
Jay Matthew Salmon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 |