Michael Beauchaine (NPI# 1255672465, PAC ID# 4183932742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1255672465 |
| PAC ID by PECOS | 4183932742 |
| Professional Enrollment ID | I20171121001018 |
| Full Name | Michael Beauchaine |
| Organization Legal Name | ST VINCENT HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS |
| Address |
3860 Monroe Rd De Pere WI 54115-8399 |
| Phone Number | 9204964700 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5799694675 |
| Number of Group Practice Members | 445 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520075 | ST VINCENT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3860 Monroe Rd, De Pere, WI 54115-8399 | 9204964700 | ST VINCENT HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS |
| 102 N Washington St, Green Bay, WI 54301-4209 | 9204964700 | ST VINCENT HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS |
| 1821 S Webster Ave, Green Bay, WI 54301-2253 | 9204964700 | ST VINCENT HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS |
| 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 9204964700 | ST VINCENT HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS |
| 2793 Lineville Rd, Green Bay, WI 54313-7152 | 9204964700 | ST VINCENT HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS |
| 3021 Voyager Dr, Green Bay, WI 54311-8303 | 9204964700 | ST VINCENT HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS |
| 835 S Van Buren St, Green Bay, WI 54301-3526 | ST VINCENT HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS | |
| 940 S Saint Augustine St, Pulaski, WI 54162-9453 | 9204964700 | ST VINCENT HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS |
| Organization Legal Name | ST VINCENT HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George E Whetmore | Pediatric Medicine | St Vincent Hospital Hospital Sisters Third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Mary C Fox | Nurse Practitioner | St Vincent Hospital Hospital Sisters Third Order of St Francis | 835 S Van Buren St, Green Bay, WI 54301-3526 |
| Robert A Callaway | Pulmonary Disease | St Vincent Hospital Hospital Sisters Third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Tina M Sauerhammer | Plastic and Reconstructive Surgery | St Vincent Hospital Hospital Sisters Third Order of St Francis | 1821 S Webster Ave, Green Bay, WI 54301-2253 |
| Debra J Metzler | Nurse Practitioner | St Vincent Hospital Hospital Sisters Third Order of St Francis | 1727 Shawano Ave, Green Bay, WI 54303-3268 |
| Jennifer A Jurecki | Nurse Practitioner | St Vincent Hospital Hospital Sisters Third Order of St Francis | 3860 Monroe Rd, De Pere, WI 54115-8399 |
| Gail S Carels | Family Practice | St Vincent Hospital Hospital Sisters Third Order of St Francis | 2502 S Ashland Ave, Green Bay, WI 54304-5252 |
| Catherine A Long | Pediatric Medicine | St Vincent Hospital Hospital Sisters Third Order of St Francis | 835 S Van Buren St, Green Bay, WI 54301-3526 |
| Paula Lynn Pengilly | Nurse Practitioner | St Vincent Hospital Hospital Sisters Third Order of St Francis | 2502 S Ashland Ave, Green Bay, WI 54304-5252 |
| Jeanne M Meier | Nurse Practitioner | St Vincent Hospital Hospital Sisters Third Order of St Francis | 835 S Van Buren St, Green Bay, WI 54301-3526 |
| Street Address |
3860 MONROE RD |
| City | DE PERE |
| State | WI |
| Zip | 54115-8399 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace L Kalk | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 3860 Monroe Rd, De Pere, WI 54115-8399 |
| Mary Ellen Lovelien | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 3860 Monroe Rd, De Pere, WI 54115-8399 |
| Alyxandria K Andrus | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 3860 Monroe Rd, De Pere, WI 54115-8399 |
| William J Mallory | Diagnostic Radiology | St Vincent Hospital-hospital Sisters-third Order of St Francis | 3860 Monroe Rd, De Pere, WI 54115-8399 |
| Beckysue Wolf | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 3860 Monroe Rd, De Pere, WI 54115-8399 |
| Stephen R Perry | Family Medicine | St Vincent Hospital-hospital Sisters-third Order of St Francis | 3860 Monroe Rd, De Pere, WI 54115-8399 |
| Gene E Flink | Optometry | St Vincent Hospital-hospital Sisters-third Order of St Francis | 3860 Monroe Rd, De Pere, WI 54115-8399 |
| Kasey L Bantes Behmke | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 3860 Monroe Rd, De Pere, WI 54115-8399 |
| Tawni N Kobielak | Nurse Practitioner | St Vincent Hospital-hospital Sisters-third Order of St Francis | 3860 Monroe Rd, De Pere, WI 54115-8399 |
| Kristin N Schultz | Physician Assistant | St Vincent Hospital-hospital Sisters-third Order of St Francis | 3860 Monroe Rd, De Pere, WI 54115-8399 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cory D Madison | Chiropractic | 1251 Scheuring Rd, Suite A, De Pere, WI 54115-1003 | |
| Michael David Harkins | Chiropractic | 1251 Scheuring Rd A, De Pere, WI 54115-1003 | |
| Frances Stahl Ballo | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| David E Bertler | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Beth Schroth-seiler | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Bridget M Kilbride | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Kenneth J Pechman | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| David M Kuphal | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Kurt S Holst | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| John S Pujals | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Find all physicians in zip 54115 | |||
| City | DE PERE |
| Zip Code | 54115 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DE PERE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Michael Beauchaine.
| 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.