MEDICARE: AEGIS GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	6001266	WI
2	3416A0800X	Air Ambulance	6001266	WI
3	3416L0300X	Land Ambulance	6001266	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	590001468	OTHER	WI	RR MEDICARE AIR AMBULANCE
6	590001468	OTHER	WI	RR MEDICARE GROUND AMBULA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063579381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AEGIS GROUP INC

Provider Business Mailing Address
First Line	:	1765 ALLOUEZ AVE
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-5645
Country	:	US
Telephone Number	:	920-469-9779
Fax Number	:	920-469-9777

Provider Business Practice Location Address
First Line	:	1765 ALLOUEZ AVE
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-5645
Country	:	US
Telephone Number	:	920-469-9779
Fax Number	:	920-469-9777

Authorized Official
Title or Position	:	FINANCE DIRECTOR
Name	:	ELAINA JOHNSON
Credential	:
Telephone Number	:	920-884-3010

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	12/03/2025

Similar Medicare Providers

1053304295 — DR. EDWARD PATRICK VANBEEK DPM
Practice Location Address:

1771 ALLOUEZ AVE
GREEN BAY, WI
54311-5645

Practice Phone: 920-469-5522
Practice Fax: 920-469-5560

1730226630 — COUNTY RESCUE SERVICES, INC.
Practice Location Address:

1765 ALLOUEZ AVE
GREEN BAY, WI
54311-5645

Practice Phone: 920-469-9779
Practice Fax: 920-469-9777

1184354177 — BLUE SKIES COUNSELING LLC
Practice Location Address:

1671 HOFFMAN RD STE 170
GREEN BAY, WI
54311-6232

Practice Phone: 920-288-2233
Practice Fax: 920-486-9355

1760963862 — ELIZABETH BOHRER PAC
Practice Location Address:

1110 KEPLER DR
GREEN BAY, WI
54311-8306

Practice Phone: 920-288-5555
Practice Fax: 920-288-5550

1437534476 — JULI ANN STEVENSON DNP, CRNA, APRN
Practice Location Address:

2845 GREENBRIER RD
GREEN BAY, WI
54311-6519

Practice Phone: 920-288-3388
Practice Fax: 920-288-3370

1336980333 — BENJAMIN COLLETTE PT
Practice Location Address:

1110 KEPLER DR
GREEN BAY, WI
54311-8306

Practice Phone: 920-932-6005
Practice Fax:

Directions to “AEGIS GROUP INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.