| Izabela J Ditchen, MD | |
|
2714 Riverview Dr, Green Bay, WI 54313-6715 | |
| (920) 430-4760 | |
| Not Available |
| Full Name | Izabela J Ditchen |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 2714 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 |
|---|---|---|---|
| 1104800911 | NPI | - | NPPES |
| 34321800 | Medicaid | WI | |
| 45158 | Other | WI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 45158 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bellin Memorial Hospital | Green bay, WI | Hospital |
| Rennes Health And Rehab Center-depere | De pere, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bellin Memorial Hospital Inc | 8820900749 | 536 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Izabela J Ditchen, MD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222 | Izabela J Ditchen, MD 2714 Riverview Dr, Green Bay, WI 54313-6715 Ph: (920) 430-4760 |
Dr. Rachael E. Vanden Langenberg, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6700 | |
Bradley Jay Fedderly, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 Fax: 414-762-4225 | |
Amy M Romandine Kratz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Barbara H Franck, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 Challenger Dr Ste 191, Green Bay, WI 54311 Phone: 920-412-9737 Fax: 920-489-2247 | |
Matthew Krueger Jenson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Siegler St, Green Bay, WI 54303 Phone: 920-494-9661 Fax: 920-496-3792 | |
Megan Leigh Grimm, DNP FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-884-3135 | |
Trent J Auguston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Voyager Dr, Green Bay, WI 54311 Phone: 920-496-4700 |