| Jeremy T Knoble, CAA | |
|
744 S Webster Ave, Green Bay, WI 54301-3581 | |
| (920) 433-3605 | |
| (920) 433-3589 |
| Full Name | Jeremy T Knoble |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 8 Years |
| Location | 744 S Webster Ave, 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 |
|---|---|---|---|
| 1134650443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 97-17 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Bellin Memorial Hospital Inc | 8820900749 | 536 |
| 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 | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Entity Name | Bellin Anesthesia Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558318410 PECOS PAC ID: 1254357684 Enrollment ID: O20051014000796 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy T Knoble, CAA Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7210 | Jeremy T Knoble, CAA 744 S Webster Ave, Green Bay, WI 54301-3581 Ph: (920) 433-3605 |
Steven Thanh Ho, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589 | |
Andrew Russell Kost, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589 | |
Matthew Robert Neerdaels, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 | |
Cassandra R Krueger, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 | |
Ashley L Diedrich, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589 | |
Frantz Merveilleux Simon, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589 |