Hemophilia Outreach Of Wisconsin, Inc.
Hematology
2060 Bellevue St, Green Bay
Wisconsin, 54311-5622
920-965-0606 920-965-0607
Hemophilia Outreach Of Wisconsin, Inc. is a Hematology in Green Bay, Wisconsin. It is located at 2060 Bellevue St, Green Bay and it's customer support contact number is 920-965-0606. The authorized person of Hemophilia Outreach Of Wisconsin, Inc. is Mr. Jamison Buxton who is Executive Director of the pharmacy and his contact number is 920-965-0606. Active license number of Hemophilia Outreach Of Wisconsin, Inc. is 40681 for Hematology in Wisconsin. Hemophilia Outreach Of Wisconsin, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Hemophilia Outreach Of Wisconsin, Inc. is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Pharmacy Details:
Hemophilia Outreach Of Wisconsin, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Hemophilia Outreach Of Wisconsin, Inc. |
| Type: | Hematology |
| Location: | 2060 Bellevue St, Green Bay,
Wisconsin, 54311-5622 |
| Phone: | 920-965-0606 |
| Fax: | 920-965-0607 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Jamison Buxton |
| Position: | Executive Director |
| Contact Number: | 920-965-0606 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1851390686 |
| NPI Enumeration Date: | 14 Jul, 2005 |
| NPI Last Update On: | 01 Feb, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Hemophilia Outreach Of Wisconsin, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Hematology | 40681 | Wisconsin | Primary | |
| Non-pharmacy Dispensing Site | 5123170 | Wisconsin | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 5123170 | Other | Wisconsin | Ncpdp Number |
| 32850600 | Medicaid | Wisconsin | |
Medicare Enrollment:
Hemophilia Outreach Of Wisconsin, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6507948593 | O20080130000138 | Hemophilia Outreach Of Wisconsin, Inc. | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2060 Bellevue St,
Green Bay, Wisconsin |
| Zip: | 54311-5622 |
| Phone Number: | 920-965-0606 |
| Fax Number: | 920-965-0607 |
Patients can reach Hemophilia Outreach Of Wisconsin, Inc. at
2060 Bellevue St, Green Bay, Wisconsin or can
call on customer care at 920-965-0606.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.