| Ascension Medical Group | |
|
2601 Fieldcrest Dr Kaukauna WI 54130 | |
| (920) 462-6100 | |
| Not Available |
| Full Name | Ascension Medical Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2601 Fieldcrest Dr, Kaukauna, Wisconsin |
| Authorized Official Name and Position | J. Bryan Fissel (VP-FINANCE) |
| Authorized Official Contact | 4144653000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Medical Group 2601 Fieldcrest Dr Kaukauna WI 54130-4523 Ph: (920) 738-2000 | Ascension Medical Group 2601 Fieldcrest Dr Kaukauna WI 54130 Ph: (920) 462-6100 |
| NPI Number | 1154589448 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154589448 | NPI | - | NPPES |
| 32752000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Novacare Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E 2nd St, Kaukauna, WI 54130 Phone: 920-737-6475 Fax: 920-766-8088 | |
Kaukauna Clinic, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 |