Kenneth Henry Katz, MD in Manitowoc, WI

Kenneth Henry Katz, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Manitowoc, Wisconsin. His current practice location is 1515 Randolph Ct, Manitowoc, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 683-5278.

Kenneth Henry Katz is licensed to practice in Wisconsin (license number 39233020) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134162019.

Contact Information

	Kenneth Henry Katz, MD
	1515 Randolph Ct, Manitowoc, WI 54220-8345
	(920) 683-5278
	(920) 686-9674

Map and Direction

Physician's Profile

Full Name	Kenneth Henry Katz
Gender	Male
Speciality	Dermatology - Mohs-micrographic Surgery
Location	1515 Randolph Ct, Manitowoc, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134162019
Provider Enumeration Date: 06/14/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 4688622905
Enrollment ID: I20050107000305

Medical Identifiers

Medical identifiers for Kenneth Henry Katz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134162019	NPI	-	NPPES
39233-020	Other	WI	STATE LICENSE
32579200	Medicaid	WI
O70016217	Other	WI	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	39233020 (Wisconsin)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	39233020 (Wisconsin)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	39233020 (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. Kenneth Henry Katz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kenneth Henry Katz, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 683-5278	Kenneth Henry Katz, MD 1515 Randolph Ct, Manitowoc, WI 54220-8345 Ph: (920) 683-5278

Reviews and Comments

Dermatology Doctors in Manitowoc, WI

Dr. Susan Ann Keiler, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1515 Randolph Ct, Manitowoc, WI 54220 Phone: 920-683-5278 Fax: 920-686-9674
Henry M Katz, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2320 Logwood Ln, Manitowoc, WI 54220 Phone: 920-682-7124
Dr. Azam Ahmed Qureshi, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1515 Randolph Ct, Manitowoc, WI 54220 Phone: 920-683-5278 Fax: 920-482-0359
Dr. Charles Leroy Frederick Schultz, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 801 York St, Manitowoc, WI 54220 Phone: 920-683-5278 Fax: 920-686-9674
Dr. Eric Morgan Hanson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1515 Randolph Ct, Manitowoc, WI 54220 Phone: 920-683-5278 Fax: 920-683-2131
Betsy Jane Wernli, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1515 Randolph Ct, Manitowoc, WI 54220 Phone: 920-683-5278 Fax: 920-482-0359

Kenneth Henry Katz, MD - Medicare Dermatology in Manitowoc, WI