| Laurie Beth Potratz, | |
|
1120 Main St, Union Grove, WI 53182-1328 | |
| (262) 548-6903 | |
| Not Available |
| Full Name | Laurie Beth Potratz |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 1120 Main St, Union Grove, 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 |
|---|---|---|---|
| 1265894539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 68177 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension All Saints Hospital | Racine, WI | Hospital |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group-southeast Wisconsin Inc | 8628980943 | 505 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Beth Potratz, 1120 Main St, Union Grove, WI 53182-1328 Ph: () - | Laurie Beth Potratz, 1120 Main St, Union Grove, WI 53182-1328 Ph: (262) 548-6903 |
Joshua D Phillips, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 21425 Spring St, Union Grove, WI 53182 Phone: 262-878-2411 Fax: 262-878-2922 | |
Simonida Kokanovic, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 21425 Spring St, Union Grove, WI 53182 Phone: 262-878-2411 Fax: 262-878-2922 | |
Daniel J Haller, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4320 67th Dr, Union Grove, WI 53182 Phone: 262-878-1211 | |
Mary E Bienemann, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 Main St, Union Grove, WI 53182 Phone: 262-878-4424 Fax: 262-687-8591 | |
Lisa M. Simonds, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 Main St, Union Grove, WI 53182 Phone: 261-878-4424 | |
Dr. Gerald A Demers, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4320 67th Dr, Union Grove, WI 53182 Phone: 262-878-1211 |