| Michelle A Lopez, MD | |
|
2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | |
| (920) 225-7875 | |
| (920) 993-5003 |
| Full Name | Michelle A Lopez |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 2600 S Heritage Woods Dr, Appleton, 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 |
|---|---|---|---|
| 1780618728 | NPI | - | NPPES |
| 34120700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 43331-020 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vohra Wound Physicians Of The Mid-west, S.c. | 9739467309 | 8 |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Entity Name | Vohra Wound Physicians Of The Mid-west, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720536477 PECOS PAC ID: 9739467309 Enrollment ID: O20161102001017 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191118000551 |
| Entity Name | St Gianna Molla Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104426477 PECOS PAC ID: 2163836339 Enrollment ID: O20210129000133 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle A Lopez, MD 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 830-5900 | Michelle A Lopez, MD 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 Ph: (920) 225-7875 |
Michael John Van Abel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 | |
Stephen C Fuller, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 | |
Samuel James Heiks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 Fax: 920-996-1054 | |
Brittany E Goodrich-braun, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 | |
Dirk Jon Derksen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Wagon Wheel Dr, Appleton, WI 54913 Phone: 920-731-6374 | |
Saba R Khan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-702-6371 Fax: 920-404-2634 | |
Ms. Cynthia Frances Susedik, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 Fax: 920-993-5037 |