| Leslie Pranger, PA-C | |
|
3003 University Dr, Marinette, WI 54143-4110 | |
| (715) 735-4200 | |
| Not Available |
| Full Name | Leslie Pranger |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 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 |
|---|---|---|---|
| 1831639335 | NPI | - | NPPES |
| 100078218 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601008144 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 4345 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center Bay Area | Marinette, WI | Hospital |
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3764 |
| Ascension Medical Group-fox Valley Wisconsin, Inc | 0244142420 | 260 |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| 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 | Emergency Medicine Specialists SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568413524 PECOS PAC ID: 8729975461 Enrollment ID: O20040228000032 |
| Entity Name | Ascension Calumet Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376541748 PECOS PAC ID: 7416948427 Enrollment ID: O20040809000191 |
| Entity Name | Ascension Ne Wisconsin, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407803638 PECOS PAC ID: 7719897784 Enrollment ID: O20061027000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Pranger, PA-C Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Leslie Pranger, PA-C 3003 University Dr, Marinette, WI 54143-4110 Ph: (715) 735-4200 |
Brooke Elizabeth Berg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 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 |
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 |