| Dr Shawn Allen Belverud, DO | |
|
835 S Van Buren St, Green Bay, WI 54301-3526 | |
| (920) 433-0111 | |
| Not Available |
| Full Name | Dr Shawn Allen Belverud |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 835 S Van Buren St, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073817268 | NPI | - | NPPES |
| 1073817268 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 66526 (Wisconsin) | Primary |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shawn Allen Belverud, DO 835 S Van Buren St, Green Bay, WI 54301-3526 Ph: (920) 433-0111 | Dr Shawn Allen Belverud, DO 835 S Van Buren St, Green Bay, WI 54301-3526 Ph: (920) 433-0111 |
John Matthew Leschke, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311 Phone: 920-430-8113 Fax: 920-430-8122 | |
Dr. Bruce Clarke Bressler, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3117 Bay View Dr, Green Bay, WI 54311 Phone: 920-465-0723 | |
Mark A Gardon, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd Ste 330, Green Bay, WI 54311 Phone: 920-288-8350 Fax: 920-288-8355 | |
Dr. Kenneth W. Reichert Ii, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8350 Fax: 920-288-8355 | |
Max E Ots, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8350 Fax: 920-288-8355 | |
Paul N Baek, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8350 Fax: 920-288-8355 |