Kyle Goham, | |
W180n8085 Town Hall Rd, Dept Of Anesthesiology, Menomonee Falls, WI 53051-3518 | |
(262) 257-5100 | |
Not Available |
Full Name | Kyle Goham |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 11 Years |
Location | W180n8085 Town Hall Rd, Menomonee Falls, 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 |
---|---|---|---|
1942638325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 006981 (Georgia) | Secondary |
367H00000X | Anesthesiologist Assistant | 7717 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Medical College Of Wisconsin Inc | 2668384371 | 1736 |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
---|---|
Kyle Goham, W180n8085 Town Hall Rd, Dept Of Anesthesiology, Menomonee Falls, WI 53051-3518 Ph: (262) 257-5100 | Kyle Goham, W180n8085 Town Hall Rd, Dept Of Anesthesiology, Menomonee Falls, WI 53051-3518 Ph: (262) 257-5100 |
Ammar Haq, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: W180n8085 Town Hall Rd, Anesthesiology, Menomonee Falls, WI 53051 Phone: 262-257-5100 | |
Matt Jenkins, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-257-5100 Fax: 262-518-5052 | |
Ann-michael Holland, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-257-5100 Fax: 262-518-5052 | |
Jesse Vitch, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd, Department Of Anesthesiology, Menomonee Falls, WI 53051 Phone: 262-257-5100 | |
David R Howard, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd, Department Of Anesthesiology, Menomonee Falls, WI 53051 Phone: 262-257-5100 | |
Sara Zemanovic, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-257-5100 Fax: 262-518-5052 | |
Rebecca Maria Patel, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-257-5100 Fax: 262-518-5052 |