Gina Pietras Spohn, MD | |
2806 Riverview Dr, Green Bay, WI 54313-6717 | |
(920) 498-7546 | |
(920) 569-4129 |
Full Name | Gina Pietras Spohn |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 10 Years |
Location | 2806 Riverview Dr, 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 |
---|---|---|---|
1952729774 | NPI | - | NPPES |
100523700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | ME136386 (Florida) | Secondary |
207N00000X | Dermatology | 83317-20 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Academic Alliance In Dermatology Inc | 8729077938 | 26 |
Entity Name | Academic Alliance In Dermatology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538119722 PECOS PAC ID: 8729077938 Enrollment ID: O20040511001288 |
Mailing Address | Practice Location Address |
---|---|
Gina Pietras Spohn, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Gina Pietras Spohn, MD 2806 Riverview Dr, Green Bay, WI 54313-6717 Ph: (920) 498-7546 |
Frances Stahl Ballo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2806 Riverview Dr, Green Bay, WI 54313 Phone: 920-498-7546 Fax: 920-569-4129 | |
Dr. Michael James Smullen, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1239 W Mason St, Green Bay, WI 54303 Phone: 920-499-0696 Fax: 920-499-0697 | |
Eduardo K Moioli, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 | |
Dr. Daniel P Hertel, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 Fax: 920-288-8462 | |
Kevan G Lewis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3059 Voyager Dr, Green Bay, WI 54311 Phone: 920-965-0345 Fax: 920-257-4559 | |
Paul Michael Stover, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2806 Riverview Dr, Green Bay, WI 54313 Phone: 920-498-7546 Fax: 920-569-4129 | |
Dr. Rene Martin Earles, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2221 S Webster Ave, Ste 241, Green Bay, WI 54301 Phone: 920-965-0345 Fax: 920-273-6011 |