| Jasmine John, MD | |
|
3021 Voyager Dr, Green Bay, WI 54311-8303 | |
| (920) 496-4700 | |
| Not Available |
| Full Name | Jasmine John |
|---|---|
| Gender | Female |
| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
| Location | 3021 Voyager Dr, 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 |
|---|---|---|---|
| 1205214178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 72055-20 (Wisconsin) | Primary |
| Entity Name | Prevea Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
| Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
| Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine John, MD 3021 Voyager Dr, Green Bay, WI 54311-8303 Ph: (920) 496-4700 | Jasmine John, MD 3021 Voyager Dr, Green Bay, WI 54311-8303 Ph: (920) 496-4700 |
Eric Abdul, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-430-4700 | |
Dr. Thomas C Betka, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4010 Fax: 920-288-4011 | |
Trevor C. Pugh, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1160 Kepler Dr, Green Bay, WI 54311 Phone: 833-986-2170 | |
Dr. Roland P Moreno, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4010 | |
Karen Besiada Hansen, OTR Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 Potts Ave, Green Bay, WI 54304 Phone: 920-491-9079 Fax: 920-491-9082 | |
Al Baltrusaitis, D.O. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 3021 Voyager Dr, Green Bay, WI 54311 Phone: 920-496-4700 |