Dr Dwight L Dyksterhouse, MD | |
2414 Kohler Memorial Dr, Sheboygan, WI 53081 | |
(920) 457-4461 | |
(920) 459-1467 |
Full Name | Dr Dwight L Dyksterhouse |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 37 Years |
Location | 2414 Kohler Memorial Dr, Sheboygan, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255446423 | NPI | - | NPPES |
32322300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 38742 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Community Health Care, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245520519 PECOS PAC ID: 3173773124 Enrollment ID: O20130605000747 |
Mailing Address | Practice Location Address |
---|---|
Dr Dwight L Dyksterhouse, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr Dwight L Dyksterhouse, MD 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Ph: (920) 457-4461 |
Dr. Deann Leah Harper, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Department Of Obstetrics And Gynecology, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Dr. Thomas Ries, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1467 | |
Dr. Leslie C Abitz, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1467 | |
Alexandra C Glasscock, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-828-2400 | |
David P Dielentheis, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Mary J Kao, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-828-2400 Fax: 920-828-2425 |