Benjamin J Ernst (NPI# 1518162247, PAC ID# 1557485992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1518162247 |
| PAC ID by PECOS | 1557485992 |
| Professional Enrollment ID | I20120824000125 |
| Full Name | Benjamin J Ernst |
| Organization Legal Name | NORTHEAST WISCONSIN RETINA ASSOCIATES SC |
| Address |
480 Pilgrim Way Suite 1305 Green Bay WI 54304-5279 |
| Phone Number | 9205920111 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 8224029707 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520075 | ST VINCENT HOSPITAL |
| 520045 | THEDA CLARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 480 Pilgrim Way, Suite 1305, Green Bay, WI 54304-5279 | 9205920111 | NORTHEAST WISCONSIN RETINA ASSOCIATES SC |
| 200 Theda Clark Medical Plz, Suite 110, Neenah, WI 54956-2790 | 9207518666 | NORTHEAST WISCONSIN RETINA ASSOCIATES SC |
| 723 Park Ridge Ln, Suite 10, North Fond Du Lac, WI 54937-1385 | 9203228688 | NORTHEAST WISCONSIN RETINA ASSOCIATES SC |
| Organization Legal Name | NORTHEAST WISCONSIN RETINA ASSOCIATES SC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Possin | Ophthalmology | Northeast Wisconsin Retina Associates Sc | 5733 Windy Dr, Suite A, Stevens Point, WI 54482-8483 |
| Khalid S Kahook | Ophthalmology | Northeast Wisconsin Retina Associates Sc | 200 Theda Clark Medical Plz, Suite 110, Neenah, WI 54956-2790 |
| John P Rosculet | Ophthalmology | Northeast Wisconsin Retina Associates Sc | 515 S Washburn St, Suite 101a, Oshkosh, WI 54904-7951 |
| Rajeev Buddi | Ophthalmology | Northeast Wisconsin Retina Associates Sc | 480 Pilgrim Way, Suite 1305, Green Bay, WI 54304-5279 |
| Charles Hejny | Ophthalmology | Northeast Wisconsin Retina Associates Sc | 480 Pilgrim Way, Suite 1305, Green Bay, WI 54304-5279 |
| Street Address |
480 PILGRIM WAY SUITE 1305 |
| City | GREEN BAY |
| State | WI |
| Zip | 54304-5279 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajeev Buddi | Ophthalmology | Northeast Wisconsin Retina Associates Sc | 480 Pilgrim Way, Suite 1305, Green Bay, WI 54304-5279 |
| Charles Hejny | Ophthalmology | Northeast Wisconsin Retina Associates Sc | 480 Pilgrim Way, Suite 1305, Green Bay, WI 54304-5279 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Sayers | Psychologist, Clinical | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Rebecca M Krueger | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Sangita A Patel | Psychiatry | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Veeranagouda A Patil | Psychiatry | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Eusebio G Hernandez | Psychiatry | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Rhonda K Huhtala | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Mary Beth King | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| David M Danby | Family Medicine | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Monique L Gore | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Lisa Shaw | Clinical Social Worker | Oneida Nation | 2640 W Point Rd, Green Bay, WI 54304-1344 |
| Find all physicians in zip 54304 | |||
| City | GREEN BAY |
| Zip Code | 54304 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | GREEN BAY + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Benjamin J Ernst.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.