NPIMap

Forefront Dermatology, S.C.

Organization Active NPI Dermatology Physician · Sturgeon Bay, WI

NPI 1700830650 · NPPES record last updated May 17, 2018

Key facts

NPI
1700830650
Entity type
Organization (NPI type 2)
Primary specialty
Dermatology Physician 207N00000X
Legal business name
FOREFRONT DERMATOLOGY, S.C.
Practice address
33 Green Bay Rd
Sturgeon Bay, WI 54235
Phone
(920) 746-4434
Fax
(920) 746-4436
NPI assigned
May 22, 2006
Organization subpart
No

Authorized official

Name
Dr. Betsy J Wernli, MD
Title
President
Phone
(920) 482-0671

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1034716Forefront Dermatology, SC
33 Green Bay Rd, Sturgeon Bay, WI 54235		Certificate of waiverSep 30, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040310000252 WI Part B Supplier - Clinic/Group Practice 3779471701 Receives reassigned benefits from 83 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Mount Pleasant, WI; Neenah, WI; New London, WI; New Richmond, WI; Oak Creek, WI; Oconomowoc, WI; Oconto Falls, WI; Oshkosh, WI…

National Provider Directory

Locations (25 of 56)

202 Rock Creek Pkwy
Fairhope, AL 36532
Phone (251) 928-3844

2471 Helton Dr
Florence, AL 35630
Phone (256) 765-2000

255 S Routt St
Ste 350
Lakewood, CO 80228

1200 Gulf Breeze Pkwy
Ste A
Gulf Breeze, FL 32561
Phone (800) 243-7546

6559 N Wickham Rd
Ste C105
Melbourne, FL 32940
Phone (321) 241-1160

4592 E Highway 20
Ste 3
Niceville, FL 32578
Phone (850) 279-6520

124 Carteret Rd
Brunswick, GA 31525
Phone (912) 480-0474

2804 Saint Marys Rd
Saint Marys, GA 31558
Phone (912) 439-3186

5505 Peachtree Dunwoody Rd
Ste 4
Sandy Springs, GA 30342

401 Lister St
Waycross, GA 31501

400 Lister St
Waycross, GA 31501
Phone (912) 283-4850

500 Main St
Ste 113
Ames, IA 50010
Phone (515) 232-3006

2769 Heartland Dr
Ste 123
Coralville, IA 52241

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

1005 Pennsylvania Ave
Ste 210
Ottumwa, IA 52501
Phone (515) 683-3195

1425 N Hunt Club Rd
Ste 202
Gurnee, IL 60031
Phone (847) 855-1730

1240 N Milwaukee Ave
Ste B
Libertyville, IL 60048
Phone (847) 250-0138

244 Westwood Blvd
Columbus, IN 47201
Phone (812) 669-0141

265 Quartermaster Ct
Jeffersonville, IN 47130
Phone (812) 282-8622

954 N Samuel Moore Pkwy
Ste C
Mooresville, IN 46158
Phone (317) 834-5466

2250 N Pointe Dr
Ste B
Warsaw, IN 46582
Phone (574) 349-9242

321 E Broadway St
#101
Campbellsville, KY 42718
Phone (270) 737-4503

159 S English Station Rd
Louisville, KY 40245
Phone (502) 753-0056

305 Middletown Park Pl
#B
Louisville, KY 40243
Phone (502) 254-2300

112 Thomas Johnson Dr
Ste 130
Frederick, MD 21702
Phone (301) 668-3004

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207N00000X Yes
Procedural Dermatology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207NS0135X

Addresses

Primary practice location

33 Green Bay Rd
Sturgeon Bay, WI 54235

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 683-5278

Other identifiers

IdentifierTypeStateIssuer
21288800MedicaidWI

Other providers in Sturgeon Bay, WI

All providers in Sturgeon Bay, WI · Dermatology Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.