Dr Kevin John Donovan, MD | |
11040 N State Rd 77, Hayward, WI 54843-3606 | |
(715) 934-4829 | |
(715) 934-4273 |
Full Name | Dr Kevin John Donovan |
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Gender | Male |
Speciality | Family Medicine |
Location | 11040 N State Rd 77, Hayward, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578123097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD.44664 (Alabama) | Secondary |
207Q00000X | Family Medicine | MD.44664 (Alabama) | Primary |
Entity Name | Memorial Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437179231 PECOS PAC ID: 8022000447 Enrollment ID: O20040402000938 |
Entity Name | Medical Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912992827 PECOS PAC ID: 9436061363 Enrollment ID: O20040914001088 |
Entity Name | Medical Services, Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1912992827 PECOS PAC ID: 9436061363 Enrollment ID: O20061104000208 |
Mailing Address | Practice Location Address |
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Dr Kevin John Donovan, MD 11040 N State Rd 77, Hayward, WI 54843-3606 Ph: (715) 934-4829 | Dr Kevin John Donovan, MD 11040 N State Rd 77, Hayward, WI 54843-3606 Ph: (715) 934-4829 |
Matthew James Luedke, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11134 N Hwy 77, Hayward, WI 54843 Phone: 715-634-5505 Fax: 715-634-5558 | |
Vicentiu Andrei, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11134 N Hwy 77, Hayward, WI 54843 Phone: 715-634-5505 | |
Katherine Matthews Eichten, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11040 N State Road 77, Hayward, WI 54843 Phone: 715-934-4321 | |
Sabrina Ann Dunlap, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11040 N State Rd 77, Hayward, WI 54843 Phone: 715-934-4910 Fax: 715-934-4620 | |
Harry Douglas Malcolm, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13380 W Trepania Rd, Hayward, WI 54843 Phone: 715-638-5100 Fax: 715-634-6107 | |
John Robert Mckevett, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11134 N Hwy 77, Hayward, WI 54843 Phone: 715-634-5505 Fax: 715-634-5558 | |
Dr. Mary Cord Mason, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13380 W Trepania Rd, Hayward, WI 54843 Phone: 715-638-5101 Fax: 715-634-1021 |