| Dr Samuel J Docksey, DO | |
|
800 Riverside Dr, Waupaca, WI 54981-1943 | |
| (715) 258-1041 | |
| (715) 258-1042 |
| Full Name | Dr Samuel J Docksey |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 9 Years |
| Location | 800 Riverside Dr, Waupaca, 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 |
|---|---|---|---|
| 1578091500 | NPI | - | NPPES |
| 100271864 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 81356 (Wisconsin) | Primary |
| 207P00000X | Emergency Medicine | 05-43010 (Kansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora West Allis Medical Center | West allis, WI | Hospital |
| Thedacare Medical Center - Berlin Inc | Berlin, WI | Hospital |
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ermed, Sc | 5092608554 | 45 |
| Thedacare Regional Medical Center - Appleton, Inc | 2163319039 | 14 |
| 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 | Thedacare Medical Center - Shawano, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
| Entity Name | Thedacare Medical Center - Berlin, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760413777 PECOS PAC ID: 0446151666 Enrollment ID: O20040120000214 |
| Entity Name | Ermed, SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023076296 PECOS PAC ID: 5092608554 Enrollment ID: O20040206000764 |
| Entity Name | Thedacare Regional Medical Center - Appleton, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902832306 PECOS PAC ID: 2163319039 Enrollment ID: O20040304000064 |
| Entity Name | Thedacare Medical Center - New London, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538127220 PECOS PAC ID: 5698664480 Enrollment ID: O20040311000254 |
| Entity Name | Thedacare Medical Center - Waupaca, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780782680 PECOS PAC ID: 3072504216 Enrollment ID: O20040524000645 |
| Entity Name | Thedacare Medical Center - Berlin, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1760413777 PECOS PAC ID: 0446151666 Enrollment ID: O20050302000751 |
| Entity Name | Thedacare Medical Center - Wild Rose, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043263999 PECOS PAC ID: 6507840923 Enrollment ID: O20070305000280 |
| Entity Name | Thedacare Medical Center - Shawano, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20070524000076 |
| Entity Name | Thedacare Medical Center - Waupaca, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1710333893 PECOS PAC ID: 3072504216 Enrollment ID: O20150918000809 |
| Entity Name | Thedacare Medical Center - New London, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538127220 PECOS PAC ID: 5698664480 Enrollment ID: O20161208000919 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel J Docksey, DO 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 830-5900 | Dr Samuel J Docksey, DO 800 Riverside Dr, Waupaca, WI 54981-1943 Ph: (715) 258-1041 |
Charles D Washington, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 |
Dr. Ismail A Dania, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 |
Dr. Logan Robert Gorges, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1042 |
Michael Andrew Ward, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 |
Jennifer Marie Bahr, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1153 |
Dr. Lana L Sanders, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1042 |
Francesca L Detrana, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1632 |