| Dr Samuel Leaf, DO | |
|
835 S Van Buren St, Green Bay, WI 54301-3526 | |
| (920) 433-0111 | |
| Not Available |
| Full Name | Dr Samuel Leaf |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 835 S Van Buren St, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295155596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 68361-21 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 5101020957 (Michigan) | Primary |
| Entity Name | Degara App Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Leaf, DO 835 S Van Buren St, Green Bay, WI 54301-3526 Ph: (810) 606-5000 | Dr Samuel Leaf, DO 835 S Van Buren St, Green Bay, WI 54301-3526 Ph: (920) 433-0111 |
Katie Lynn Lloyd, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Darren M Heesacker, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Edward C Vogel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Dr. David Franklin Edwards, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6000 Fax: 920-433-6009 | |
Dr. David Alan Sorrentino, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Dr. Ryan Thomas Murphy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 | |
Dr. Jill P Harman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 Fax: 920-433-7932 |