| Mr Timothy E Hazard, FNP | |
|
629 Solvang Way, Denmark, WI 54208 | |
| (920) 863-2600 | |
| Not Available |
| Full Name | Mr Timothy E Hazard |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 629 Solvang Way, Denmark, 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 |
|---|---|---|---|
| 1003199720 | NPI | - | NPPES |
| 1003199720 | Medicaid | WI | |
| 363F0000X | Other | IL | TAXONOMY# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 6952 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Baycare Medical Ctr | Green bay, 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 |
| Entity Name | Aurora Quick Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820729 PECOS PAC ID: 7719996792 Enrollment ID: O20060419000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy E Hazard, FNP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-6250 | Mr Timothy E Hazard, FNP 629 Solvang Way, Denmark, WI 54208 Ph: (920) 863-2600 |
Cari L Duffy-sebero, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 629 Solvang Way, Denmark, WI 54208 Phone: 920-863-2600 | |
Deborah Ann Hoffman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 595 County Road R, Denmark, WI 54208 Phone: 920-863-2005 | |
Ann A Styx, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 629 Solvang Way, Denmark, WI 54208 Phone: 920-863-2600 |