Dr Wynn Hugh Kao, MD, PHD | |
3024 E Empire St, Ste E & F, Bloomington, IL 61704-5402 | |
(309) 451-3376 | |
(309) 452-3376 |
Full Name | Dr Wynn Hugh Kao |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 20 Years |
Location | 3024 E Empire St, Bloomington, Illinois |
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 |
---|---|---|---|
1790996890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 036.143480 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Medical Center | Bloomington, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology And Mohs Surgery Institute Ltd | 3870732191 | 9 |
Entity Name | Dermatology And Mohs Surgery Institute Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770828626 PECOS PAC ID: 3870732191 Enrollment ID: O20130618000425 |
Mailing Address | Practice Location Address |
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Dr Wynn Hugh Kao, MD, PHD 3024 E Empire St Ste E&f, Bloomington, IL 61704-5402 Ph: (309) 451-3376 | Dr Wynn Hugh Kao, MD, PHD 3024 E Empire St, Ste E & F, Bloomington, IL 61704-5402 Ph: (309) 451-3376 |
Michael Thomas Ginnetti, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1015 S Mercer Ave Ste Gf7, Bloomington, IL 61701 Phone: 309-660-8442 | |
Kent S. Taulbee, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2418 E Lincoln St, Bloomington, IL 61701 Phone: 309-663-6386 Fax: 309-662-7622 | |
Mr. Rajagopala Swaminathan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3024 E Empire St Ste Eandf, Bloomington, IL 61704 Phone: 309-451-3376 Fax: 309-452-3376 | |
Joanne M Larow, DO Dermatology Medicare: May Accept Medicare Assignments Practice Location: 3302 Gerig Dr Ste 100, Bloomington, IL 61704 Phone: 309-533-7070 Fax: 855-710-6552 | |
Mr. Thomas Richard Brander, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Phone: 309-662-8813 Fax: 309-662-6835 | |
Mr. James Richard Seehafer, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Phone: 309-662-8813 Fax: 309-662-6835 | |
Mrs. Lucy Nelson Wisdom, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1404 Eastland Drive, Suite 204, Bloomington, IL 61701 Phone: 309-662-8813 Fax: 309-662-6835 |