Mr David A Kloss, MD | |
100 County Road B, Shawano, WI 54166-7072 | |
(715) 524-2161 | |
(715) 524-8164 |
Full Name | Mr David A Kloss |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 38 Years |
Location | 100 County Road B, Shawano, 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 |
---|---|---|---|
1003842915 | NPI | - | NPPES |
010033503CT01 | Other | CT | ANTHEM BC / BS |
001335034 | Medicaid | CT | |
0706347 | Other | CT | AETNA / US HEALTHCARE |
001335034 | Other | CT | BLUE CARE FAMILY PLAN |
335030 | Other | CT | CONNECTICARE |
1144213006 | Other | CT | CIGNA |
WIS020 | Other | CT | OXFORD |
030515 | Other | CT | HEALTHNET |
P02113 | Other | CT | CHA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 68403 (Wisconsin) | Primary |
174400000X | Specialist | 033503 (Connecticut) | Secondary |
208600000X | Surgery | 54709 (Minnesota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Tri County Hospital | Wadena, MN | Hospital |
Community Memorial Hospital | Cloquet, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Astera Health | 2961395272 | 88 |
Entity Name | Astera Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134305162 PECOS PAC ID: 2961395272 Enrollment ID: O20040202001082 |
Entity Name | Community Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203 |
Mailing Address | Practice Location Address |
---|---|
Mr David A Kloss, MD 415 Jefferson St North, Tri-county Hospital, Wadena, MN 56482-1296 Ph: (218) 631-3510 | Mr David A Kloss, MD 100 County Road B, Shawano, WI 54166-7072 Ph: (715) 524-2161 |
Anna G Gilbertson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 | |
Craig D Wendt, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 |