| Laura Peck, | |
|
5300 Memorial Dr, Two Rivers, WI 54241-3923 | |
| (920) 793-7300 | |
| Not Available |
| Full Name | Laura Peck |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 10 Years |
| Location | 5300 Memorial Dr, Two Rivers, 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 |
|---|---|---|---|
| 1699159558 | NPI | - | NPPES |
| 100308760 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 5101025446 (Michigan) | Primary |
| 208600000X | Surgery | TL.005462 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Ctr Manitowoc County | Two rivers, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Peck, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Laura Peck, 5300 Memorial Dr, Two Rivers, WI 54241-3923 Ph: (920) 793-7300 |
Dr. David Dean Copp, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 | |
Dr. Charles D Pratt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5125 | |
Dr. Steven Bradley Goldin, MD PHD MPH CPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7300 | |
Breanna M O'neil, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 | |
Dr. John Charles Zeldenrust, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7300 |