| Mr Jeffrey W Meincke-reza, MD | |
|
835 Parkside St, Ripon, WI 54971-8505 | |
| (920) 745-3500 | |
| (920) 745-7930 |
| Full Name | Mr Jeffrey W Meincke-reza |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 32 Years |
| Location | 835 Parkside St, Ripon, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629039607 | NPI | - | NPPES |
| P00007908 | Other | TX | RAILROAD MEDICARE |
| 0036JT | Other | TX | BLUE CROSS BLUE SHIELD |
| 200039200A | Medicaid | OK | |
| 3101855 | Other | TX | AETNA |
| 045592503 | Medicaid | TX | |
| 3000 | Other | TX | NEIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 41012 (Wisconsin) | Primary |
| 207X00000X | Orthopaedic Surgery | K6887 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Marys Hospital | Rhinelander, WI | Hospital |
| Ascension Eagle River Hospital | Eagle river, WI | Hospital |
| Howard Young Medical Center | Woodruff, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Medical Group Inc | 1052223625 | 224 |
| Entity Name | Aspirus Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
| Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
| Entity Name | Aspirus Riverview Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295754844 PECOS PAC ID: 4587658182 Enrollment ID: O20040414000945 |
| Entity Name | Howard Young Medical Center Inc Of Woodruff Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184673352 PECOS PAC ID: 4183519606 Enrollment ID: O20040419000970 |
| Entity Name | Aspirus Eagle River Hospital & Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346204385 PECOS PAC ID: 1658361951 Enrollment ID: O20040518000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey W Meincke-reza, MD 835 Parkside St, Ripon, WI 54971-8505 Ph: (920) 745-3500 | Mr Jeffrey W Meincke-reza, MD 835 Parkside St, Ripon, WI 54971-8505 Ph: (920) 745-3500 |