| Tod C Lewis, MD | |
|
1346 E Green Bay St, Shawano, WI 54166-2210 | |
| (715) 526-6244 | |
| Not Available |
| Full Name | Tod C Lewis |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 1346 E Green Bay St, Shawano, Wisconsin |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184651127 | NPI | - | NPPES |
| 31955600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32856 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aamg Reach Pllc | 5597133264 | 54 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| 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 |
| Entity Name | Aamg Reach Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609502707 PECOS PAC ID: 5597133264 Enrollment ID: O20221216002458 |
| Mailing Address | Practice Location Address |
|---|---|
| Tod C Lewis, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Tod C Lewis, MD 1346 E Green Bay St, Shawano, WI 54166-2210 Ph: (715) 526-6244 |
Dr. Mindy Maria Frimodig, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 | |
Dr. Richard Dennis Sarnwick, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1346 E Green Bay St, Shawano, WI 54166 Phone: 715-526-8800 | |
Gregory Thatcher, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 | |
Dr. John Edward Laabs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 | |
Alisha Frances Fahley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 | |
Cornelius W Hyzer Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-526-3461 |