| Mr Todd Harold Bruss, ATC, LAT, CSCS, PA-C | |
|
1110 Kepler Dr, Green Bay, WI 54311-8306 | |
| (920) 288-5555 | |
| (920) 288-5550 |
| Full Name | Mr Todd Harold Bruss |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 1110 Kepler Dr, 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 |
|---|---|---|---|
| 1417178443 | NPI | - | NPPES |
| 1417178443 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3058 (Wisconsin) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 350-039 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Bay Area Medical Center | Marinette, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Clinic Llp | 4385554328 | 190 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Todd Harold Bruss, ATC, LAT, CSCS, PA-C 1035 Kepler Dr, Green Bay, WI 54311-8320 Ph: (920) 490-9046 | Mr Todd Harold Bruss, ATC, LAT, CSCS, PA-C 1110 Kepler Dr, Green Bay, WI 54311-8306 Ph: (920) 288-5555 |
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: Accepting Medicare Assignments 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: 2845 Greenbrier Rd, 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: 920-288-8300 | |
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 |