Philip A Keith, MD | |
225 Memorial Dr, Berlin, WI 54923-1243 | |
(920) 361-5524 | |
(920) 361-5486 |
Full Name | Philip A Keith |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 21 Years |
Location | 225 Memorial Dr, Berlin, 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 |
---|---|---|---|
1831275890 | NPI | - | NPPES |
1831275890 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 47873-020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
Berlin Memorial Hospital | Berlin, WI | Hospital |
Thedacare Medical Center - Shawano | Shawano, WI | Hospital |
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Thedacare Medical Center - Wild Rose | Wild rose, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thedacare, Incorporated | 1759294887 | 509 |
Radiology Associates Of Appleton Sc | 6002851862 | 31 |
Entity Name | Thedacare, Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Entity Name | Radiology Associates Of Appleton Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407941909 PECOS PAC ID: 6002851862 Enrollment ID: O20050622000606 |
Mailing Address | Practice Location Address |
---|---|
Philip A Keith, MD 225 Memorial Dr, Berlin, WI 54923-1243 Ph: (920) 361-5524 | Philip A Keith, MD 225 Memorial Dr, Berlin, WI 54923-1243 Ph: (920) 361-5524 |
Brice Alvord, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5730 Fax: 920-361-5519 |