Shannon Michelle Koehler, MD, PHD | |
9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226-4874 | |
(414) 266-6550 | |
(414) 266-6579 |
Full Name | Shannon Michelle Koehler |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 15 Years |
Location | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710114178 | NPI | - | NPPES |
1710114178 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MDR-5733 (Hawaii) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 62385 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Children's Physician Services Of South Texas | 3678478872 | 40 |
Entity Name | Children's Physician Services Of South Texas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568658227 PECOS PAC ID: 3678478872 Enrollment ID: O20040324001704 |
Mailing Address | Practice Location Address |
---|---|
Shannon Michelle Koehler, MD, PHD 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226-4874 Ph: (414) 266-6550 | Shannon Michelle Koehler, MD, PHD 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226-4874 Ph: (414) 266-6550 |
Dr. Simin Golestani, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-5800 Fax: 414-805-8097 | |
Jiro Kimura, Surgery Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6400 Fax: 414-955-0213 | |
Dr. David L Larson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 8700 Watertown Plank Road, Wisconsin Athletic Club Bldg, Milwaukee, WI 53226 Phone: 414-805-3666 | |
Dr. John J Aiken, MD Surgery Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226 Phone: 414-266-6550 Fax: 414-266-6579 | |
Dr. Jeremy Holzmacher Levin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-1700 Fax: 414-955-0072 | |
Dr. Keith T Oldham, MD Surgery Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226 Phone: 414-266-6550 Fax: 414-266-6579 | |
William R Deshur, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2801 W Kk River Pkwy, Suite 330, Milwaukee, WI 53215 Phone: 414-649-3240 Fax: 414-649-3244 |