| Gina M Suchocki, | |
|
112 N Us Highway 141, Crivitz, WI 54114-1708 | |
| (715) 854-3940 | |
| (715) 854-3941 |
| Full Name | Gina M Suchocki |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 112 N Us Highway 141, Crivitz, 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 |
|---|---|---|---|
| 1770018756 | NPI | - | NPPES |
| 100067621 | Medicaid | WI | |
| 473548414 | Other | WI | TAX ID FOR AURORA BAY AREA MEDICAL GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7658-33 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 7658 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bay Area Medical Center | Marinette, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina M Suchocki, Po Box 735044, Chicago, IL 60673-5044 Ph: (715) 854-3940 | Gina M Suchocki, 112 N Us Highway 141, Crivitz, WI 54114-1708 Ph: (715) 854-3940 |
Amel Mohamed Elshaier, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 N Us Highway 141, Crivitz, WI 54114 Phone: 715-854-7050 Fax: 715-854-3485 | |
Suzette M Bornemann, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 S Hwy 141, Crivitz, WI 54114 Phone: 715-854-7477 Fax: 715-854-7785 |