| Robert Thomas Cutlan, MD | |
|
1726 Shawano Ave, Green Bay, WI 54303-3216 | |
| (920) 496-4700 | |
| (920) 884-3566 |
| Full Name | Robert Thomas Cutlan |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 29 Years |
| Location | 1726 Shawano Ave, Green Bay, 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 |
|---|---|---|---|
| 1821021239 | NPI | - | NPPES |
| 34290000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 44339 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Hospital Medical Center | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 567 |
| 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 |
|---|---|
| Robert Thomas Cutlan, MD Po Box 19070, Prevea Health, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Robert Thomas Cutlan, MD 1726 Shawano Ave, Green Bay, WI 54303-3216 Ph: (920) 496-4700 |
Matthew L Snyder, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Road, Green Bay, WI 54311 Phone: 920-288-4740 Fax: 920-288-4737 | |
Dr. Charles F Dais Ii, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-8047 | |
Oliver Graf, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-498-4200 | |
Nathanial I Kieler, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3653 | |
Robert Joseph Murphy, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 Fax: 920-884-3566 | |
Dr. Thomas S Fredeen, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3653 | |
Omeed Hafez, Pathology Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3653 |