Rene M Earles (NPI# 1609946292, PAC ID# 4183664592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1609946292 |
| PAC ID by PECOS | 4183664592 |
| Professional Enrollment ID | I20101104001172 |
| Full Name | Rene M Earles |
| Organization Legal Name | NEW DERMATOLOGY GROUP LTD |
| Address |
2021 S Webster Ave Green Bay WI 54301-2257 |
| Phone Number | 9209650345 |
| Gender | M |
| Credential | MD |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1967 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9537312665 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1747 Shawano Ave, Green Bay, WI 54303-3243 | 9205694981 | NEW DERMATOLOGY GROUP LTD |
| 2021 S Webster Ave, Green Bay, WI 54301-2257 | 9209650345 | NEW DERMATOLOGY GROUP LTD |
| 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 |
| Colleen M Van Egeren | 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 |
| 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 |
| Colleen M Van Egeren | 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 |
| 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 | DERMATOLOGY |
| City + Specialty | GREEN BAY + DERMATOLOGY |
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| 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.