Thomas B Kloosterboer, MD is a
Anesthesiology physician based in Ripon, Wisconsin. Thomas B Kloosterboer is licensed to practice in Wisconsin (license number 25277) and his current practice location is 845 Parkside St, Ripon, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 748-3101.
NPI number for Thomas B Kloosterboer is 1174599120 and his current mailing address is 420 E Division St, Fond Du Lac, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174599120.
Physician's Profile
| Full Name | Thomas B Kloosterboer |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 845 Parkside St, Ripon, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174599120
- Provider Enumeration Date: 02/28/2006
- Last Update Date: 12/15/2020
Medical Identifiers
Medical identifiers for Thomas B Kloosterboer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174599120 | NPI | - | NPPES |
| 30563300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 25277 (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. Thomas B Kloosterboer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Thomas B Kloosterboer, MD
420 E Division St,
Fond Du Lac, WI 54935-4560
Ph: (920) 926-8340 | Thomas B Kloosterboer, MD
845 Parkside St,
Ripon, WI 54971-8505
Ph: (920) 748-3101 |
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