| Dr Tracey O'neal Hooker, DO | |
|
2500 E Capitol Dr, Appleton, WI 54911-8735 | |
| (920) 380-4999 | |
| Not Available |
| Full Name | Dr Tracey O'neal Hooker |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2500 E Capitol Dr, Appleton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730141029 | NPI | - | NPPES |
| 000000522471 | Other | OH | ANTHEM BCBS |
| 2188734 | Medicaid | OH | |
| 5179573 | Medicaid | MI | |
| 810547599075 | Other | OH | CARESOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34006990 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 72733 (Wisconsin) | Primary |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tracey O'neal Hooker, DO 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 380-4999 | Dr Tracey O'neal Hooker, DO 2500 E Capitol Dr, Appleton, WI 54911-8735 Ph: (920) 380-4999 |
Michael John Van Abel, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 | |
Stephen C Fuller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 | |
Samuel James Heiks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 Fax: 920-996-1054 | |
Brittany E Goodrich-braun, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 | |
Dirk Jon Derksen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Wagon Wheel Dr, Appleton, WI 54913 Phone: 920-731-6374 | |
Ms. Cynthia Frances Susedik, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 Fax: 920-993-5037 | |
N Carter Noble, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3329 N Richmond St, Appleton, WI 54911 Phone: 920-380-2715 |