Dr Michael J Vander Kooy, MD | |
480 E Division St, Fond Du Lac, WI 54935-3734 | |
(920) 926-4100 | |
(920) 926-4190 |
Full Name | Dr Michael J Vander Kooy |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 31 Years |
Location | 480 E Division St, Fond Du Lac, 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 |
---|---|---|---|
1760444541 | NPI | - | NPPES |
32451900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 37647 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Agnes Hospital | Fond du lac, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Agnesian Healthcare Inc | 1658289624 | 335 |
Entity Name | Agnesian Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael J Vander Kooy, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Dr Michael J Vander Kooy, MD 480 E Division St, Fond Du Lac, WI 54935-3734 Ph: (920) 926-4100 |
Gregory B Kapala, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Fond Du Lac, WI 54935 Phone: 920-921-5676 Fax: 920-921-2684 | |
Hong Chu Wang, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 480 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4101 Fax: 920-926-4190 | |
Dr. Filip T Troicki, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 480 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4100 | |
Richard E Simpson Iii, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Fond Du Lac, WI 54935 Phone: 920-921-5676 Fax: 920-921-2684 | |
Kevin L Ketchum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 481 E Division St, Fond Du Lac, WI 54935 Phone: 920-921-5676 Fax: 920-921-2684 | |
Abel R Castellano, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 481 E Division St, Fond Du Lac, WI 54935 Phone: 920-921-5676 Fax: 920-921-2684 | |
Edward J Chesna, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 481 E Division St, Fond Du Lac, WI 54935 Phone: 920-921-5676 Fax: 920-921-2684 |