| The Neuroscience Group Of Northeast Wisconsin Sc | |
|
1305 W. American Drive Neenah WI 54956-1993 | |
| (800) 201-1194 | |
| (920) 720-7392 |
| Full Name | The Neuroscience Group Of Northeast Wisconsin Sc |
|---|---|
| Speciality | Neurological Surgery |
| Location | 1305 W. American Drive, Neenah, Wisconsin |
| Authorized Official Name and Position | Philip Yazbak (PRESIDENT) |
| Authorized Official Contact | 8002011194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neuroscience Group Of Northeast Wisconsin Sc 1305 W American Drive Neenah WI 54956-1993 Ph: (800) 201-1194 | The Neuroscience Group Of Northeast Wisconsin Sc 1305 W. American Drive Neenah WI 54956-1993 Ph: (800) 201-1194 |
| NPI Number | 1578516803 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 08/16/2019 |
| Medicare PECOS PAC ID | 6204740186 |
|---|---|
| Medicare Enrollment ID | O20031114000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578516803 | NPI | - | NPPES |
| CD3987 | Other | RAILROAD MEDICARE | |
| 21284100 | Medicaid | WI | |
| 000071450 | Other | WI | MEDICARE |
| Provider Name | Alexander T Hawkins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619070802 PECOS PAC ID: 7810984697 Enrollment ID: I20040426001499 |
| Provider Name | David William Neuenfeldt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568447605 PECOS PAC ID: 8022091073 Enrollment ID: I20040610000714 |
| Provider Name | Robert J Daul |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710979935 PECOS PAC ID: 1153307368 Enrollment ID: I20040628001319 |
| Provider Name | Jason G Schomburg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891787016 PECOS PAC ID: 7618953837 Enrollment ID: I20040628001371 |
| Provider Name | Susan Hibbs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053353268 PECOS PAC ID: 9739152174 Enrollment ID: I20040816000018 |
| Provider Name | Randall R Johnson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447293188 PECOS PAC ID: 5092781476 Enrollment ID: I20040907001329 |
| Provider Name | Kristen A Brazzale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851321483 PECOS PAC ID: 9830159458 Enrollment ID: I20041018000486 |
| Provider Name | Sumon Bhattacharjee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740221910 PECOS PAC ID: 0648225177 Enrollment ID: I20050317000765 |
| Provider Name | Kimberly R Karrmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093820219 PECOS PAC ID: 7416975149 Enrollment ID: I20051110000550 |
| Provider Name | Thomas G Mattio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356382535 PECOS PAC ID: 5698689586 Enrollment ID: I20060307000517 |
| Provider Name | Cathy D Shine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710938899 PECOS PAC ID: 2567479199 Enrollment ID: I20060307000546 |
| Provider Name | Christine A Munson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427133834 PECOS PAC ID: 2961402367 Enrollment ID: I20070109000408 |
| Provider Name | Todd R Peebles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386665925 PECOS PAC ID: 9335181957 Enrollment ID: I20070111000611 |
| Provider Name | Philip A Yazbak |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538119649 PECOS PAC ID: 4880508779 Enrollment ID: I20070518000320 |
| Provider Name | Jenna M Kadlec |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295938777 PECOS PAC ID: 2769583566 Enrollment ID: I20070724000230 |
| Provider Name | Daniel R Dahle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073704441 PECOS PAC ID: 1355434051 Enrollment ID: I20070912000093 |
| Provider Name | Juan A Albino Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235226143 PECOS PAC ID: 6103990320 Enrollment ID: I20080806000720 |
| Provider Name | Andrew Richard Greene |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871531749 PECOS PAC ID: 2466463542 Enrollment ID: I20081007000572 |
| Provider Name | Kristine A Twomey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770728974 PECOS PAC ID: 3779630736 Enrollment ID: I20090408000181 |
| Provider Name | Penny M Bernards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760425573 PECOS PAC ID: 1456409432 Enrollment ID: I20090430000384 |
| Provider Name | Lisa M Kokontis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487604526 PECOS PAC ID: 0143134031 Enrollment ID: I20100415000844 |
| Provider Name | Douglas A Bartelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184956864 PECOS PAC ID: 9234151333 Enrollment ID: I20100824001287 |
| Provider Name | Steven J Price |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457302432 PECOS PAC ID: 9335053222 Enrollment ID: I20101026000582 |
| Provider Name | Gizell R Larson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629029707 PECOS PAC ID: 7416861307 Enrollment ID: I20101109000348 |
| Provider Name | Sherry L Konen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275849622 PECOS PAC ID: 1658554795 Enrollment ID: I20110325000866 |
| Provider Name | Rebecca A Van Heuklon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053606376 PECOS PAC ID: 6709054265 Enrollment ID: I20110727000765 |
| Provider Name | Kelley J Parnell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154328896 PECOS PAC ID: 1456346725 Enrollment ID: I20110901000304 |
| Provider Name | Brian D Jenkins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497725295 PECOS PAC ID: 9537330683 Enrollment ID: I20110921000096 |
| Provider Name | Julie S Feil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194712851 PECOS PAC ID: 3779750237 Enrollment ID: I20120124000616 |
| Provider Name | Billie A Sturgeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588941975 PECOS PAC ID: 3476714908 Enrollment ID: I20120410000698 |
| Provider Name | Michelle L Lichtenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225390354 PECOS PAC ID: 7810144342 Enrollment ID: I20120905000659 |
| Provider Name | Ross L Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790032977 PECOS PAC ID: 6305094368 Enrollment ID: I20120917000359 |
| Provider Name | Bernadette Borte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366678344 PECOS PAC ID: 3072759604 Enrollment ID: I20130426000057 |
| Provider Name | Dacy C Reimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144656851 PECOS PAC ID: 7416182233 Enrollment ID: I20131104000988 |
| Provider Name | Michelle A Ziegelbauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386073856 PECOS PAC ID: 1153558598 Enrollment ID: I20131211000394 |
| Provider Name | Kristen L Musser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902030380 PECOS PAC ID: 3072663491 Enrollment ID: I20141002000329 |
| Provider Name | Lacy B Ihde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265847305 PECOS PAC ID: 8123341138 Enrollment ID: I20141224000719 |
| Provider Name | Daniel M Fecht |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376923904 PECOS PAC ID: 6709198005 Enrollment ID: I20150629002514 |
| Provider Name | Jonathan M Hall |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568605962 PECOS PAC ID: 5698088326 Enrollment ID: I20150723007994 |
| Provider Name | Mariah Strahm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033595087 PECOS PAC ID: 9234443029 Enrollment ID: I20150807013243 |
| Provider Name | Brianne M Wienkers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689059776 PECOS PAC ID: 8921314824 Enrollment ID: I20150908001394 |
| Provider Name | Lisa Jean Truttschel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285013953 PECOS PAC ID: 3577873975 Enrollment ID: I20151116001608 |
| Provider Name | Ashley E Gehrke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790139160 PECOS PAC ID: 4486945797 Enrollment ID: I20160616001289 |
| Provider Name | Benjamin R Siebert |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114154192 PECOS PAC ID: 4789964255 Enrollment ID: I20161130000220 |
| Provider Name | Jaime L Velie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295284560 PECOS PAC ID: 4284914698 Enrollment ID: I20161130002136 |
| Provider Name | Nicole Gutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104364637 PECOS PAC ID: 6507141124 Enrollment ID: I20170322002229 |
| Provider Name | Deb K Mojumder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396023818 PECOS PAC ID: 4183928849 Enrollment ID: I20170818001936 |
| Provider Name | Katie L Walters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578080339 PECOS PAC ID: 8224394580 Enrollment ID: I20171102002121 |
| Provider Name | Benjamin G Savage |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639515281 PECOS PAC ID: 5092006650 Enrollment ID: I20180807001621 |
| Provider Name | Christine E Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417434044 PECOS PAC ID: 4789935602 Enrollment ID: I20180914002756 |
| Provider Name | Steffany Marie Di Biase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679032148 PECOS PAC ID: 5496097503 Enrollment ID: I20190419000530 |
| Provider Name | Daniel L Long |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033523329 PECOS PAC ID: 4082969878 Enrollment ID: I20190716000816 |
| Provider Name | Arienne L Krizenesky |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235785478 PECOS PAC ID: 9133459407 Enrollment ID: I20190930001958 |
| Provider Name | Nicole T Shafran |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316231251 PECOS PAC ID: 7416387808 Enrollment ID: I20200427001600 |
| Provider Name | Robert M Koffie |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760744460 PECOS PAC ID: 2466689138 Enrollment ID: I20200430000889 |
| Provider Name | Lauran M Brice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740893114 PECOS PAC ID: 1153731724 Enrollment ID: I20201110002778 |
| Provider Name | Hillary Ann Bashaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265048805 PECOS PAC ID: 8022429117 Enrollment ID: I20201120001627 |
| Provider Name | Jodi Lynn Tesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801401252 PECOS PAC ID: 3274947585 Enrollment ID: I20210128000430 |
| Provider Name | Michael Andrew Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275114712 PECOS PAC ID: 7911301916 Enrollment ID: I20210813000258 |
| Provider Name | Brooke A Henschel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245809714 PECOS PAC ID: 6103218805 Enrollment ID: I20220107002303 |
| Provider Name | Evan Krueger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861807174 PECOS PAC ID: 2264721067 Enrollment ID: I20220817002253 |
| Provider Name | Alison D Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447996863 PECOS PAC ID: 8123494390 Enrollment ID: I20221013002279 |
| Provider Name | Kim G Hermans |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669627220 PECOS PAC ID: 7719344605 Enrollment ID: I20230608001016 |
| Provider Name | Peggy L Brokl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740476696 PECOS PAC ID: 2860840352 Enrollment ID: I20231121003672 |
| Provider Name | Christopher J Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972388189 PECOS PAC ID: 7517304777 Enrollment ID: I20240322003113 |
| Provider Name | Rachel D Haugly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992286439 PECOS PAC ID: 0547791642 Enrollment ID: I20240930003841 |
| Provider Name | Emily E Wachtendonk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457184970 PECOS PAC ID: 7214461532 Enrollment ID: I20241108003128 |
Baycare Clinic, Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 800-753-9960 | |
Michener Child And Adolescent Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 S Commercial St, Neenah, WI 54956 Phone: 920-268-6940 | |
Ezer Counseling And Coaching, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 S Commercial St, Suite 014, Neenah, WI 54956 Phone: 920-886-5946 | |
Therapy & Tattoos Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 1st St Ste C, Neenah, WI 54956 Phone: 920-717-4388 Fax: 920-486-9049 | |
Rural Employee And Student Assistance Professionals, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Jewelers Park Drive, Suite 100, Neenah, WI 54956 Phone: 715-281-1541 Fax: 920-720-9980 | |
Happiness Now Life Coaching And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 N Western Ave, Neenah, WI 54956 Phone: 715-315-0930 | |
Lk Anderson Consulting Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 145 W Wisconsin Ave, Neenah, WI 54956 Phone: 920-725-1230 Fax: 920-744-1449 |