Dr Kyle Jon Van Arendonk, MD | |
9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | |
(414) 266-6550 | |
(414) 266-6579 |
Full Name | Dr Kyle Jon Van Arendonk |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659544211 | NPI | - | NPPES |
H0007327 | Other | OH | CGS - MEDICARE |
0027771 | Medicaid | OH | |
1659544211 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 35.149179 (Ohio) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 69327-20 (Wisconsin) | Primary |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
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Dr Kyle Jon Van Arendonk, MD 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 Ph: (414) 266-6550 | Dr Kyle Jon Van Arendonk, MD 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 Ph: (414) 266-6550 |
Dr. Simin Golestani, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-5800 Fax: 414-805-8097 | |
Jiro Kimura, Surgery Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6400 Fax: 414-955-0213 | |
Dr. David L Larson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 8700 Watertown Plank Road, Wisconsin Athletic Club Bldg, Milwaukee, WI 53226 Phone: 414-805-3666 | |
Dr. John J Aiken, MD Surgery Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226 Phone: 414-266-6550 Fax: 414-266-6579 | |
Dr. Jeremy Holzmacher Levin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-1700 Fax: 414-955-0072 | |
Dr. Keith T Oldham, MD Surgery Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226 Phone: 414-266-6550 Fax: 414-266-6579 | |
William R Deshur, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2801 W Kk River Pkwy, Suite 330, Milwaukee, WI 53215 Phone: 414-649-3240 Fax: 414-649-3244 |