| Scott G Zahn, MD | |
|
1881 Chicago St, De Pere, WI 54115-3770 | |
| (920) 403-8000 | |
| Not Available |
| Full Name | Scott G Zahn |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1881 Chicago St, De Pere, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407830011 | NPI | - | NPPES |
| 33595 | Other | WI | LICENSE |
| 31864700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 33595 (Wisconsin) | Primary |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott G Zahn, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Scott G Zahn, MD 1881 Chicago St, De Pere, WI 54115-3770 Ph: (920) 403-8000 |
Dr. Rose M Cipres-jaucian, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1723 Spring Hills Ln, De Pere, WI 54115 Phone: 920-403-7982 | |
Dr. Laura Jean Gallistel, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Redbird Cir Ste 200, De Pere, WI 54115 Phone: 920-338-6820 | |
Yoloxochitl Diaz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1881 Chicago St, De Pere, WI 54115 Phone: 920-403-8000 | |
Matthew R. Theado, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 555 Redbird Cir, Suite 200, De Pere, WI 54115 Phone: 920-338-6820 Fax: 920-338-6829 | |
Dr. Caitlin Quinn Barr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Redbird Cir, De Pere, WI 54115 Phone: 920-338-6820 Fax: 920-338-6829 | |
Rachael Marie Ellis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Redbird Cir, De Pere, WI 54115 Phone: 920-338-6820 Fax: 920-338-6829 |