| Ellen A Radocay, APNP | |
|
140b School Creek Trl, Luxemburg, WI 54217-1095 | |
| (920) 845-1370 | |
| (920) 845-1379 |
| Full Name | Ellen A Radocay |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 140b School Creek Trl, Luxemburg, 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 |
|---|---|---|---|
| 1538575048 | NPI | - | NPPES |
| 13673570 | Other | CAQH | |
| F0814117 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 174211-30 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5967-33 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bellin Home Health Agency | Green bay, WI | Home health agency |
| Bellin Memorial Hospital | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bellin Memorial Hospital Inc | 8820900749 | 536 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen A Radocay, APNP Po Box 22487, Green Bay, Green Bay, WI 54305-2487 Ph: (920) 445-7210 | Ellen A Radocay, APNP 140b School Creek Trl, Luxemburg, WI 54217-1095 Ph: (920) 845-1370 |
Ms. Jean L Keim, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 School Creek Trl, Luxemburg, WI 54217 Phone: 920-845-2351 Fax: 920-845-2001 | |
Elyse Marie Engebose, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140b School Creek Trl, Luxemburg, WI 54217 Phone: 920-845-1370 Fax: 920-845-1379 | |
Sally Jo Ledvina, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: E1430 Krines Rd, Luxemburg, WI 54217 Phone: 920-863-6580 | |
Mrs. Cheryl A Rentmeester, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 B School Creek Trail, Luxemburg, WI 54217 Phone: 920-845-1370 |