Edgar (ted) King Collison Iv, MD - Surgery in Green Bay, WI

Edgar (ted) King Collison Iv, MD is a Surgery physician based in Green Bay, Wisconsin. Edgar (ted) King Collison Iv is licensed to practice in Wisconsin (license number 54369-020) and his current practice location is 1715 Dousman St, Green Bay, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 496-4700.

NPI number for Edgar (ted) King Collison Iv is 1043541154 and his current mailing address is 1715 Dousman St, Green Bay, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043541154.

Contact Information

Edgar (ted) King Collison Iv, MD
1715 Dousman St,
Green Bay, WI 54303-3211
(920) 496-4700
Not Available



Physician's Profile

Full NameEdgar (ted) King Collison Iv
GenderMale
SpecialitySurgery
Location1715 Dousman St, Green Bay, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043541154
  • Provider Enumeration Date: 01/29/2010
  • Last Update Date: 12/16/2021

Medical Identifiers

Medical identifiers for Edgar (ted) King Collison Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043541154NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 336.084547 (Illinois)Secondary
208600000XSurgery 54369-020 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edgar (ted) King Collison Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edgar (ted) King Collison Iv, MD
1715 Dousman St,
Green Bay, WI 54303-3211

Ph: (920) 496-4700
Edgar (ted) King Collison Iv, MD
1715 Dousman St,
Green Bay, WI 54303-3211

Ph: (920) 496-4700

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Surgery Doctors in Green Bay, WI

Dr. Peter V Gapinski, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 2845 Greenbrier Rd, #120, Green Bay, WI 54308
Phone: 920-288-8100    
Dr. Teresa A Gonzaga, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2605 Development Dr, Green Bay, WI 54311
Phone: 920-288-8240    Fax: 920-857-1488
Benjamin Andrew, M.D.
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Practice Location: 1860 Shawano Ave, Green Bay, WI 54303
Phone: 920-496-4700    
Carrie Ann Thoms, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1821 S Webster Ave, Green Bay, WI 54301
Phone: 920-496-4700    Fax: 920-436-1379
Daniel Williams, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1726 Shawano Ave, Green Bay, WI 54303
Phone: 920-496-4700    
Karri Adamson, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2605 Development Dr, Green Bay, WI 54311
Phone: 920-288-8240    

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