| Mckenzie M Connell, PA-C | |
|
1726 Shawano Ave, Green Bay, WI 54303-3216 | |
| (920) 496-4700 | |
| Not Available |
| Full Name | Mckenzie M Connell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1726 Shawano Ave, Green Bay, 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 |
|---|---|---|---|
| 1376217125 | NPI | - | NPPES |
| 100194128 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5703-23 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Marys Hospital Medical Ctr | Green bay, WI | Hospital |
| St Vincent Hospital | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 593 |
| Entity Name | Prevea Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
| Entity Name | St. Nicholas Hospital-sisters of the Third Order of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
| Entity Name | St Vincent Hospital-hospital Sisters-third Order of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenzie M Connell, PA-C Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Mckenzie M Connell, PA-C 1726 Shawano Ave, Green Bay, WI 54303-3216 Ph: (920) 496-4700 |
Krista M Solarek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1970 S Ridge Rd, Green Bay, WI 54304 Phone: 920-430-4888 Fax: 920-430-4889 |
Mrs. Jenna Mae Hanson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1715 Dousman St, Green Bay, WI 54303 Phone: 920-496-4770 |
Bethany J Piotrowski, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-433-6000 Fax: 920-430-4719 |
Ethan T Shaver, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1110 Kepler Dr, Green Bay, WI 54311 Phone: 920-288-5555 Fax: 920-288-5550 |
Dayna K Niesen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 414-290-6720 Fax: 414-290-6755 |
Katelin Marie Selner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 |
Ashley M Spindler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 |