Bernadette L Wilson (NPI# 1861592529, PAC ID# 2365451838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1861592529 |
| PAC ID by PECOS | 2365451838 |
| Professional Enrollment ID | I20060411000392 |
| Full Name | Bernadette L Wilson |
| Organization Legal Name | BAYCARE CLINIC LLP |
| Address |
2253 W Mason St Green Bay WI 54307-4706 |
| Phone Number | 9203277000 |
| Gender | F |
| Credential | DDS |
| Graduation Year | 1994 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 4385554328 |
| Number of Group Practice Members | 159 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2253 W Mason St, Green Bay, WI 54307-4706 | 9203277000 | BAYCARE CLINIC LLP |
| 2581 Development Dr, Green Bay, WI 54311-4246 | 9203470400 | BAYCARE CLINIC LLP |
| Organization Legal Name | BAYCARE CLINIC LLP |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan R Woods | Orthopedic Surgery | Baycare Clinic LLP | 1160 Kepler Dr, Green Bay, WI 54311-8321 |
| Ethan T Shaver | Physician Assistant | Baycare Clinic LLP | 1346 E Green Bay St, Shawano, WI 54166-2210 |
| Lacey L Jandrin | Physician Assistant | Baycare Clinic LLP | 501 N 10th St, Manitowoc, WI 54220-4039 |
| Chad R Seubert | Oral Surgery | Baycare Clinic LLP | 2581 Development Dr, Green Bay, WI 54311-4246 |
| Madeline C Almond | Ophthalmology | Baycare Clinic LLP | 2140 Velp Ave, Green Bay, WI 54303-6492 |
| Kevin Pa Wienkers | Ophthalmology | Baycare Clinic LLP | 30 N 18th Ave Bldg, Suite 6, Sturgeon Bay, WI 54235-3207 |
| Ashley M Spindler | Physician Assistant | Baycare Clinic LLP | 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 |
| Brian E Bozelka | Ophthalmology | Baycare Clinic LLP | 1400 University Dr, Marinette, WI 54143-5105 |
| Brad J Lavallie | Optometry | Baycare Clinic LLP | 323 E Highland Dr, Suite 8, Oconto Falls, WI 54154-1006 |
| Benjamin E Phillips | Ophthalmology | Baycare Clinic LLP | 4801 Expo Dr, Manitowoc, WI 54220-9341 |
| Street Address |
2253 W MASON ST |
| City | GREEN BAY |
| State | WI |
| Zip | 54307-4706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole L Lowe | Nurse Practitioner | Aurora Medical Group Inc | 2253 W Mason St, Green Bay, WI 54303-4706 |
| Darren M Heesacker | Emergency Medicine | Baycare Aurora, LLC | 2253 W Mason St, Green Bay, WI 54303-4706 |
| Edward C Vogel | Emergency Medicine | Baycare Aurora, LLC | 2253 W Mason St, Green Bay, WI 54303-4706 |
| John J Klinkhammer | Certified Registered Nurse Anesthetist (crna) | Baycare Clinic LLP | 2253 W Mason St, Green Bay, WI 54307-4706 |
| Timothy R Cooper | Anesthesiology | Baycare Clinic LLP | 2253 W Mason St, Green Bay, WI 54307-4706 |
| David Alan Sorrentino | Emergency Medicine | Baycare Aurora, LLC | 2253 W Mason St, Green Bay, WI 54303-4706 |
| Ryan T Murphy | Emergency Medicine | Baycare Aurora, LLC | 2253 W Mason St, Green Bay, WI 54303-4706 |
| Ubaid Nawaz | Hematology/oncology | Baycare Aurora, LLC | 2253 W Mason St, Green Bay, WI 54303-4706 |
| Brian K Konowalchuk | Preventative Medicine | Baycare Aurora, LLC | 2253 W Mason St, Green Bay, WI 54303-4706 |
| Nicholas J Heezen | Internal Medicine | Aurora Medical Group Inc | 2253 W Mason St, Green Bay, WI 54303-4706 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia A Kashevarof | Certified Registered Nurse Anesthetist (crna) | Advanced Pain Management Sc | 835 S Van Buren St, Greenbay, WI 54307-3526 |
| Rita A Christensen | Nurse Practitioner | Advanced Pain Management Sc | 835 S Van Buren St, Greenbay, WI 54307-3526 |
| Leslie L Schweitzer | Certified Registered Nurse Anesthetist (crna) | Baycare Clinic LLP | 2253 W Mason St, Green Bay, WI 54307-4706 |
| Pamela Norma Reynolds | Certified Registered Nurse Anesthetist (crna) | Baycare Clinic LLP | 2253 W Mason St, Green Bay, WI 54307-4706 |
| Steven A Zent | Maxillofacial Surgery | Baycare Clinic LLP | 2253 W Mason St, Green Bay, WI 54307-4706 |
| Nicholas S Riehl | Certified Registered Nurse Anesthetist (crna) | Baycare Clinic LLP | 2253 W Mason St, Green Bay, WI 54307-4706 |
| Mark R Oleck | Certified Registered Nurse Anesthetist (crna) | Baycare Clinic LLP | 2253 W Mason St, Green Bay, WI 54307-4706 |
| Rene Garcia | Certified Registered Nurse Anesthetist (crna) | Baycare Clinic LLP | 2253 W Mason St, Green Bay, WI 54307-4706 |
| Nicholas W Seglund | Certified Registered Nurse Anesthetist (crna) | Baycare Clinic LLP | 2253 W Mason St, Green Bay, WI 54307-4706 |
| Kari E Bentley | Certified Registered Nurse Anesthetist (crna) | Baycare Clinic LLP | 2253 W Mason St, Green Bay, WI 54307-4706 |
| Find all physicians in zip 54307 | |||
| City | GREEN BAY |
| Zip Code | 54307 |
| Specialty | ORAL SURGERY |
| City + Specialty | GREEN BAY + ORAL SURGERY |
Please comment or provide details below to improve the information on Bernadette L Wilson.
| 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.