Kevin L O'halloran, MD | |
123 Hospital Dr, Suite 1008, Watertown, WI 53098-3331 | |
(920) 206-6500 | |
(920) 261-4013 |
Full Name | Kevin L O'halloran |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 37 Years |
Location | 123 Hospital Dr, Watertown, 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 |
---|---|---|---|
1821007022 | NPI | - | NPPES |
31932100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 34258 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Watertown Memorial Hospital | Watertown, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Watertown Physician Practices Llc | 8022329408 | 56 |
Entity Name | Divine Savior Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
Entity Name | Watertown Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
Mailing Address | Practice Location Address |
---|---|
Kevin L O'halloran, MD 123 Hospital Dr, Suite 1008, Watertown, WI 53098-3331 Ph: (920) 206-6500 | Kevin L O'halloran, MD 123 Hospital Dr, Suite 1008, Watertown, WI 53098-3331 Ph: (920) 206-6500 |
Dr. Terry Mark Roman, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 123 Hospital Dr, Suite 1008, Watertown, WI 53098 Phone: 920-206-6500 Fax: 920-261-4013 | |
Steven P Rhodes, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 123 Hospital Dr, Suite 1008, Watertown, WI 53098 Phone: 920-206-6500 Fax: 920-261-4013 |