| Mr Gregory M Cavanaugh, PA-C | |
|
4131 W. Loomis Rd., Ste 300, Greenfield, WI 53221-2059 | |
| (414) 325-7246 | |
| (414) 325-3770 |
| Full Name | Mr Gregory M Cavanaugh |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 4131 W. Loomis Rd., Greenfield, 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 |
|---|---|---|---|
| 1124084462 | NPI | - | NPPES |
| 30118100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1261023 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center Sheboygan County | Sheboygan, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Progressive Beginnings, Llc | 7012189848 | 19 |
| Pain Physicians Of Wisconsin Sc | 9537596341 | 28 |
| Aurora Medical Group, Inc. | 6709794258 | 3764 |
| 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 | Pain Physicians of Wisconsin SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679119689 PECOS PAC ID: 9537596341 Enrollment ID: O20200217000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregory M Cavanaugh, PA-C 4131 W. Loomis Rd., Ste 300, Greenfield, WI 53221-2059 Ph: (414) 325-7246 | Mr Gregory M Cavanaugh, PA-C 4131 W. Loomis Rd., Ste 300, Greenfield, WI 53221-2059 Ph: (414) 325-7246 |
Melissa A Lynch, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 |
Gadeer Ayesh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5233 S 27th St, Greenfield, WI 53221 Phone: 414-727-5850 |
Martin J Medina, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 |
Mrs. Sara I Vanderburgh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 Fax: 414-421-3772 |
Jenna M Mineau, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-647-3146 |
Emily Akula, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 Fax: 414-421-3772 |
Paul C Streiff, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Froedtert And Mcw Fastcare-greenfield, 5800 West Layton Ave., Greenfield, WI 53220 Phone: 262-532-3067 |