Dr Kenneth Andrew Miller, MD | |
611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | |
(920) 568-6090 | |
(920) 568-6083 |
Full Name | Dr Kenneth Andrew Miller |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 38 Years |
Location | 611 Sherman Ave E, Fort Atkinson, 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 |
---|---|---|---|
1962543496 | NPI | - | NPPES |
1962543496 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 11253504-1205 (Utah) | Secondary |
208M00000X | Hospitalist | M-13495 (Idaho) | Secondary |
207R00000X | Internal Medicine | 29654 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Lost Rivers Medical Center | Arco, ID | Hospital |
St Johns Medical Center | Jackson, WY | Hospital |
Madison Memorial Hospital | Rexburg, ID | Hospital |
Steele Memorial Medical Center | Salmon, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Utah Regional Hospitalists Llc | 4789807165 | 128 |
Entity Name | St Joseph Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790816262 PECOS PAC ID: 2961497235 Enrollment ID: O20041220001093 |
Entity Name | Vibra Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659705424 PECOS PAC ID: 8921233933 Enrollment ID: O20141105002107 |
Entity Name | Utah Regional Hospitalists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740715507 PECOS PAC ID: 4789807165 Enrollment ID: O20170811001682 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Andrew Miller, MD 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 Ph: (920) 568-6090 | Dr Kenneth Andrew Miller, MD 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 Ph: (920) 568-6090 |
Jennifer Ann Winter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-5500 | |
Nathaniel J Fullerton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Sherman Ave, Fort Atkinson, WI 53538 Phone: 920-568-5411 Fax: 920-568-4004 | |
Dr. Ailleen R. Alquinto Anonuevo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 | |
Dane Schultz, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571 | |
Mrs. Laura Koenig, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571 Fax: 920-563-7705 | |
Dr. Jennifer L Klenske, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Sherman Ave, Fort Atkinson, WI 53538 Phone: 920-568-5000 Fax: 920-568-4004 | |
Dr. Thomas Tackman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571 Fax: 920-563-7705 |