| William Scott Dougherty, MD | |
|
2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | |
| (920) 288-8280 | |
| (920) 288-8285 |
| Full Name | William Scott Dougherty |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 37 Years |
| Location | 2845 Greenbrier Rd Ste 240, 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 |
|---|---|---|---|
| 1548298789 | NPI | - | NPPES |
| 3402100631 | Other | MI | BCBS |
| 32215300 | Medicaid | WI | |
| 340015990 | Other | WI | RAILROAD |
| 104236924 | Medicaid | MI | |
| 104386144 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 37353 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Aurora Medical Ctr Manitowoc County | Two rivers, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Aurora Llc | 0244130557 | 187 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Baycare Clinic Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
| 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 | Baycare Aurora Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
| Mailing Address | Practice Location Address |
|---|---|
| William Scott Dougherty, MD 2845 Greenbrier Rd Ste 240, Po Box 8900, Green Bay, WI 54308-8900 Ph: (920) 288-8280 | William Scott Dougherty, MD 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 Ph: (920) 288-8280 |
Heather M Stefaniak, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311 Phone: 920-288-8280 Fax: 920-288-8285 | |
Richard Windsor, MD Urology Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd, Suite 240, Green Bay, WI 54311 Phone: 920-288-8280 Fax: 920-288-8285 | |
Bruce M Neal, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311 Phone: 920-288-8280 Fax: 920-288-8285 | |
Dr. Vannhu Nguyen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Ste 240, Green Bay, WI 54311 Phone: 920-288-8280 Fax: 920-288-8285 | |
Timothy J Kennedy, MD Urology Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311 Phone: 920-288-8280 Fax: 920-288-8285 | |
Bahareh Nicole Alavi-dunn, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-436-1359 |