| Dr Edward D Bayer, MD | |
|
1716 Lawrence Dr, De Pere, WI 54115-9108 | |
| (920) 605-3115 | |
| (920) 486-6826 |
| Full Name | Dr Edward D Bayer |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1716 Lawrence Dr, De Pere, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891789657 | NPI | - | NPPES |
| 32316400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 38740 (Wisconsin) | Primary |
| Entity Name | St Gianna Molla Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104426477 PECOS PAC ID: 2163836339 Enrollment ID: O20210129000133 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward D Bayer, MD 1716 Lawrence Dr, De Pere, WI 54115-9108 Ph: (920) 605-3115 | Dr Edward D Bayer, MD 1716 Lawrence Dr, De Pere, WI 54115-9108 Ph: (920) 605-3115 |
Dr. Rose M Cipres-jaucian, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1723 Spring Hills Ln, De Pere, WI 54115 Phone: 920-403-7982 |
Dr. Laura Jean Gallistel, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Redbird Cir Ste 200, De Pere, WI 54115 Phone: 920-338-6820 |
Yoloxochitl Diaz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1881 Chicago St, De Pere, WI 54115 Phone: 920-403-8000 |
Matthew R. Theado, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Redbird Cir, Suite 200, De Pere, WI 54115 Phone: 920-338-6820 Fax: 920-338-6829 |
Dr. Caitlin Quinn Barr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Redbird Cir, De Pere, WI 54115 Phone: 920-338-6820 Fax: 920-338-6829 |
Karen M Camilli, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 555 Redbird Cir, Suite 200, De Pere, WI 54115 Phone: 920-338-6820 |
Sherri L Hoyman, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 555 Redbird Cir, De Pere, WI 54115 Phone: 920-338-6820 |