| Bellin Health Suring | |
|
307 Manor Dr Suring WI 54174-9182 | |
| (920) 842-2144 | |
| (920) 842-4111 |
| Full Name | Bellin Health Suring |
|---|---|
| Speciality | Clinic/Center |
| Location | 307 Manor Dr, Suring, Wisconsin |
| Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9204337864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellin Health Suring Po Box 1866 Green Bay WI 54305-1866 Ph: (920) 445-7222 | Bellin Health Suring 307 Manor Dr Suring WI 54174-9182 Ph: (920) 842-2144 |
| NPI Number | 1104418037 |
|---|---|
| Provider Enumeration Date | 02/11/2021 |
| Last Update Date | 02/10/2022 |
| Medicare PECOS PAC ID | 2163461781 |
|---|---|
| Medicare Enrollment ID | O20210415002681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104418037 | NPI | - | NPPES |
| 528631 | Other | WI | CMS RURAL HEALTH |
| 000003028 | Other | WI | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | James W Gast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710961529 PECOS PAC ID: 4981653938 Enrollment ID: I20060120000793 |
Fmc Suring Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Manor Dr, Suring, WI 54174 Phone: 920-842-2144 | |
St Clare Memorial Hospital Suring Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 913 East Main Street, Suring, WI 54174 Phone: 920-842-1147 Fax: 920-842-1160 |