| Kathryn A Mahoney, PA-C | |
|
9555 76th St # 1200, Pleasant Prairie, WI 53158-1984 | |
| (262) 671-7300 | |
| (262) 671-7315 |
| Full Name | Kathryn A Mahoney |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 9555 76th St # 1200, Pleasant Prairie, 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 |
|---|---|---|---|
| 1083195580 | NPI | - | NPPES |
| 1083195580 | Medicaid | WI | |
| 4512-23 | Other | WI | WI LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4512-23 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 085010142 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Hospital System | Kenosha, WI | Hospital |
| Rush University Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rush University Medical Center | 5496658874 | 997 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn A Mahoney, PA-C 111 E Wisconsin Ave Ste 2000, Milwaukee, WI 53202-4809 Ph: (414) 290-6720 | Kathryn A Mahoney, PA-C 9555 76th St # 1200, Pleasant Prairie, WI 53158-1984 Ph: (262) 671-7300 |
Megan Lee, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158 Phone: 262-656-3590 | |
Colleen Courtney, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5400 | |
Patricia Hunt, Physician Assistant Medicare: Medicare Enrolled Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-671-7510 | |
Nicole Dubish, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8000 | |
Mr. Andrew David Sirois, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8000 | |
Kevin Roy Poole, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 |