| Mosaic Family Health, Inc | |
|
229 S Morrison St Appleton WI 54911-5725 | |
| (920) 832-2783 | |
| Not Available |
| Full Name | Mosaic Family Health, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 229 S Morrison St, Appleton, Wisconsin |
| Authorized Official Name and Position | Lee Vogel (CAMPUS DIRECTOR) |
| Authorized Official Contact | 9208322783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Family Health, Inc 229 S Morrison St Appleton WI 54911-5725 Ph: (920) 832-2783 | Mosaic Family Health, Inc 229 S Morrison St Appleton WI 54911-5725 Ph: (920) 832-2783 |
| NPI Number | 1548653389 |
|---|---|
| Provider Enumeration Date | 03/17/2015 |
| Last Update Date | 04/24/2015 |
| Medicare PECOS PAC ID | 4082925243 |
|---|---|
| Medicare Enrollment ID | O20150616000255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548653389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael D Plotkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881636819 PECOS PAC ID: 4789587585 Enrollment ID: I20040129000536 |
| Provider Name | Michal F Slovick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285768572 PECOS PAC ID: 4587654736 Enrollment ID: I20040518000589 |
| Provider Name | Deborah L Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457391666 PECOS PAC ID: 4385685536 Enrollment ID: I20050518000180 |
| Provider Name | Lee M Vogel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477594166 PECOS PAC ID: 4183665342 Enrollment ID: I20050518000206 |
| Provider Name | Allen R Last |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205887049 PECOS PAC ID: 9638069693 Enrollment ID: I20050729000711 |
| Provider Name | John W Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124089420 PECOS PAC ID: 2961434956 Enrollment ID: I20050910000252 |
| Provider Name | Michael T Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811965494 PECOS PAC ID: 3476553777 Enrollment ID: I20070111000088 |
| Provider Name | Iris N Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558308577 PECOS PAC ID: 0446320261 Enrollment ID: I20080605000781 |
| Provider Name | Paul D Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306899000 PECOS PAC ID: 1759443054 Enrollment ID: I20081220000098 |
| Provider Name | Wendy L Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487691408 PECOS PAC ID: 5890848683 Enrollment ID: I20090727000301 |
| Provider Name | Gregory A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578529863 PECOS PAC ID: 7214937515 Enrollment ID: I20100524000033 |
| Provider Name | Paul H Russo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164488458 PECOS PAC ID: 8123028420 Enrollment ID: I20100524000036 |
| Provider Name | Alan K David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043261530 PECOS PAC ID: 4385831379 Enrollment ID: I20101202000959 |
| Provider Name | Kathryn M Jacobe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841459815 PECOS PAC ID: 8325217185 Enrollment ID: I20110811000593 |
| Provider Name | Elizabeth R Menzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992949416 PECOS PAC ID: 6305008616 Enrollment ID: I20120503000136 |
| Provider Name | Alice M Boshoven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063754356 PECOS PAC ID: 5395063697 Enrollment ID: I20150417000105 |
| Provider Name | Konstantin A Mikheyev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225320005 PECOS PAC ID: 6507179975 Enrollment ID: I20150715000523 |
| Provider Name | Suzanne L Dupont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457763898 PECOS PAC ID: 4587977871 Enrollment ID: I20150715001692 |
| Provider Name | Megan M Everson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659613826 PECOS PAC ID: 1153615083 Enrollment ID: I20160815003064 |
| Provider Name | Jessica L Lemke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518384411 PECOS PAC ID: 9032407614 Enrollment ID: I20170816000051 |
| Provider Name | Jeremy P Waldhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427476605 PECOS PAC ID: 3072801687 Enrollment ID: I20171011000213 |
| Provider Name | Laura A Verhagen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356873681 PECOS PAC ID: 7911235171 Enrollment ID: I20200901000178 |
| Provider Name | Teri G Metropulos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013407501 PECOS PAC ID: 3476906959 Enrollment ID: I20240131003884 |
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