Jeffrey Lee Minikel, MD is a
Orthopaedic Surgery physician based in Shawano, Wisconsin. Jeffrey Lee Minikel is licensed to practice in Wisconsin (license number 21786) and his current practice location is 100 County Road B, Shawano, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 831-5050.
NPI number for Jeffrey Lee Minikel is 1114907011 and his current mailing address is Po Box 8003, Appleton, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114907011.
Physician's Profile
| Full Name | Jeffrey Lee Minikel |
|---|
| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 100 County Road B, Shawano, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114907011
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 03/15/2012
Medical Identifiers
Medical identifiers for Jeffrey Lee Minikel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114907011 | NPI | - | NPPES |
| 30478900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 21786 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffrey Lee Minikel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeffrey Lee Minikel, MD
Po Box 8003,
Appleton, WI 54912-8003
Ph: (920) 996-3200 | Jeffrey Lee Minikel, MD
100 County Road B,
Shawano, WI 54166-7072
Ph: (920) 831-5050 |
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