Matt Jenkins, CAA | |
W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | |
(262) 257-5100 | |
(262) 518-5052 |
Full Name | Matt Jenkins |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 3 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 |
---|---|---|---|
1104585322 | NPI | - | NPPES |
100281630 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 554-17 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical Center Of Trinity | Trinity, FL | Hospital |
Mercy Hospital Springfield | Springfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sunshine State Anesthesia Partners Llc | 8123434792 | 365 |
Mercy Clinic Springfield Communities | 7416865845 | 933 |
Entity Name | Sunshine State Anesthesia Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
Mailing Address | Practice Location Address |
---|---|
Matt Jenkins, CAA W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 Ph: (262) 257-5100 | Matt Jenkins, CAA W180n8085 Town Hall Rd, 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 | |
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 |