| Brooke Elizabeth Berg, PA-C | |
|
3003 University Dr, Marinette, WI 54143-4110 | |
| (920) 490-9046 | |
| Not Available |
| Full Name | Brooke Elizabeth Berg |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 3003 University Dr, Marinette, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023772084 | NPI | - | NPPES |
| 100195873 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5728-023 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center Bay Area | Marinette, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3764 |
| 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 |
|---|---|
| Brooke Elizabeth Berg, PA-C Po Box 28900, Green Bay, WI 54324-0900 Ph: (920) 490-9046 | Brooke Elizabeth Berg, PA-C 3003 University Dr, Marinette, WI 54143-4110 Ph: (920) 490-9046 |
Mr. Colin Van Pay, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 |
Nicholas Patrick Grimm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3515 Murray St, Marinette, WI 54143 Phone: 715-732-0699 Fax: 715-732-3522 |
Elizabeth Devries, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2741 Roosevelt Rd, Marinette, WI 54143 Phone: 715-732-1392 |
Ashley Nichole Huntley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 |
Marie Frances Dobratz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 |
Leslie Pranger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 |
Jonathan R Hayward, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3515 Murray St, Marinette, WI 54143 Phone: 715-732-0699 Fax: 715-732-3522 |