Prevea Health – General Practice Physician, NPI 1285613638
General Practice Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Prevea Health
PO BOX 19041
GREEN BAY, WI 543079041
Phone: (920) 433-8287
Fax: (920) 433-8765
Type: Mailing
PO BOX 19070
GREEN BAY, WI 543079070
Phone: (920) 496-4700
Type: Mailing
Executive Drive, Newark, Essex County, New Jersey, 07114, United States
GREEN BAY, WI 543045496
Phone: (920) 433-8287
Fax: (920) 433-8765
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-06-20
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54307)
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