Colleen M Van Egeren (NPI# 1265628507, PAC ID# 0042305963) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1265628507 |
| PAC ID by PECOS | 0042305963 |
| Professional Enrollment ID | I20071005000731 |
| Full Name | Colleen M Van Egeren |
| Organization Legal Name | NEW DERMATOLOGY GROUP LTD |
| Address |
2021 S Webster Ave Green Bay WI 54301-2257 |
| Phone Number | 9209650345 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537312665 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 141 Siegler St, Green Bay, WI 54303-2635 | 9209650345 | NEW DERMATOLOGY GROUP LTD |
| 2021 S Webster Ave, Green Bay, WI 54301-2257 | 9209650345 | NEW DERMATOLOGY GROUP LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_337_overall | Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier | 100% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 76% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 79% |
| Organization Legal Name | NEW DERMATOLOGY GROUP LTD |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen M Luikart | Physician Assistant | New Dermatology Group Ltd | 2021 S Webster Ave, Green Bay, WI 54301-2257 |
| Jason O Davis | Physician Assistant | New Dermatology Group Ltd | 3415 Custer St, Suite D, Manitowoc, WI 54220-4328 |
| David E Orr | Physician Assistant | New Dermatology Group Ltd | 2021 S Webster Ave, Green Bay, WI 54301-2257 |
| Megan M Hotchkiss | Physician Assistant | New Dermatology Group Ltd | 2021 S Webster Ave, Green Bay, WI 54301-2257 |
| Kevan G Lewis | Dermatology | New Dermatology Group Ltd | 2021 S Webster Ave, Green Bay, WI 54301-2257 |
| Rene M Earles | Dermatology | New Dermatology Group Ltd | 2021 S Webster Ave, Green Bay, WI 54301-2257 |
| Kathryn E Vils | Physician Assistant | New Dermatology Group Ltd | 2021 S Webster Ave, Green Bay, WI 54301-2257 |
| Ramona M Hulkonen | Physician Assistant | New Dermatology Group Ltd | 2021 S Webster Ave, Green Bay, WI 54301-2257 |
| Street Address |
2021 S WEBSTER AVE |
| City | GREEN BAY |
| State | WI |
| Zip | 54301-2257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen M Luikart | Physician Assistant | New Dermatology Group Ltd | 2021 S Webster Ave, Green Bay, WI 54301-2257 |
| David E Orr | Physician Assistant | New Dermatology Group Ltd | 2021 S Webster Ave, Green Bay, WI 54301-2257 |
| Megan M Hotchkiss | Physician Assistant | New Dermatology Group Ltd | 2021 S Webster Ave, Green Bay, WI 54301-2257 |
| Kevan G Lewis | Dermatology | New Dermatology Group Ltd | 2021 S Webster Ave, Green Bay, WI 54301-2257 |
| Rene M Earles | Dermatology | New Dermatology Group Ltd | 2021 S Webster Ave, Green Bay, WI 54301-2257 |
| Kathryn E Vils | Physician Assistant | New Dermatology Group Ltd | 2021 S Webster Ave, Green Bay, WI 54301-2257 |
| Ramona M Hulkonen | Physician Assistant | New Dermatology Group Ltd | 2021 S Webster Ave, Green Bay, WI 54301-2257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy O Trupke | Physical Therapy | Andrews Physical Therapy Sc | 3208 E River Dr, Green Bay, WI 54301-1410 |
| Eliza M Andrews | Physical Therapy | Andrews Physical Therapy Sc | 3208 E River Dr, Green Bay, WI 54301-1410 |
| Tina Marie Baeten | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Daniel D Lyons | Chiropractic | 2920 S Webster Ave, Suite 100, Green Bay, WI 54301-1594 | |
| Valorie A Helander | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Jennifer A Sovey Fahey | Clinical Social Worker | Baeten Counseling and Consultation Team Sc | 2920 S Webster Ave B, Green Bay, WI 54301-1594 |
| Kayla Marie Franzluebbers | Chiropractic | Lyons Health, LLC | 2920 S Webster Ave, Green Bay, WI 54301-1594 |
| Ann Meier Carli | Optometry | Advanced Eyecare Center | 3237 Riverside Dr, Suite A, Green Bay, WI 54301-1643 |
| Glenn D Carli | Optometry | Advanced Eyecare Center | 3237 Riverside Dr, Suite A, Green Bay, WI 54301-1643 |
| Steven L Kagen | Allergy/immunology | 2333 Riverside Dr, Green Bay, WI 54301-1945 | |
| Find all physicians in zip 54301 | |||
| City | GREEN BAY |
| Zip Code | 54301 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GREEN BAY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Colleen M Van Egeren.
| 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.