Dr Kevin J Fullin, MD FACC | |
6308 8th Ave, Suite 3060, Kenosha, WI 53143-5082 | |
(262) 656-3650 | |
(262) 656-3671 |
Full Name | Dr Kevin J Fullin |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 44 Years |
Location | 6308 8th Ave, Kenosha, 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 |
---|---|---|---|
1346224532 | NPI | - | NPPES |
30742900 | Medicaid | WI | |
1346224532 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 27973 (Wisconsin) | Primary |
207RI0011X | Internal Medicine - Interventional Cardiology | 27973 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
United Hospital System | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Froedtert South Inc | 9537071196 | 122 |
Entity Name | Froedtert South Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin J Fullin, MD FACC 6308 8th Ave, Suite 3060, Kenosha, WI 53143-5082 Ph: (262) 656-3650 | Dr Kevin J Fullin, MD FACC 6308 8th Ave, Suite 3060, Kenosha, WI 53143-5082 Ph: (262) 656-3650 |
Hanna Mariani, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Ste 3070, Kenosha, WI 53143 Phone: 262-656-3710 Fax: 262-656-3715 | |
Leilane U Sta Romana, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd, #200, Kenosha, WI 53142 Phone: 262-658-3706 Fax: 262-658-1751 | |
Raymond W Knight, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Ste 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 | |
Dr. Rodrigo Buencamino Mata Iii, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-2710 | |
Michael H Zeihen, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 | |
Zebi Fatima, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-942-5600 | |
Timothy A. Sanborn, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-653-3650 Fax: 262-656-3672 |