Dr Keith Konkol, MD | |
1000 Mineral Point Ave, Janesville, WI 53548-2940 | |
(608) 756-6800 | |
Not Available |
Full Name | Dr Keith Konkol |
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Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 1000 Mineral Point Ave, Janesville, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730255340 | NPI | - | NPPES |
32219500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 37675 (Wisconsin) | Primary |
Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
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Dr Keith Konkol, MD 1000 Mineral Point Ave, Janesville, WI 53548-2940 Ph: (608) 756-6800 | Dr Keith Konkol, MD 1000 Mineral Point Ave, Janesville, WI 53548-2940 Ph: (608) 756-6800 |
Imdad Ahmed, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6868 Fax: 608-756-6289 | |
Jacob A Thomas, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6741 Fax: 608-756-6376 | |
Hassan Homida, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6868 | |
David R. Isaacson, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6261 Fax: 068-756-6236 | |
Dr. Fahim Haider Jafary, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6868 | |
Kauseruzzaman A. Khan, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3524 E Milwaukee St, Janesville, WI 53546 Phone: 608-756-7100 Fax: 608-741-4700 | |
William N Brandt, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8277 |