Michael James Church, PA-C - Medicare Physician Assistant in Kenosha, WI

Michael James Church, PA-C is a medicare enrolled "Physician Assistant" in Kenosha, Wisconsin. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Vituity-wisconsin Hm Sc and his current practice location is 6308 8th Ave, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 656-2011.

Michael James Church is licensed to practice in Wisconsin (license number 5119-23) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164056727.

Contact Information

Michael James Church, PA-C
6308 8th Ave,
Kenosha, WI 53143-5031
(262) 656-2011
Not Available

Map and Direction




Provider's Profile

Full NameMichael James Church
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location6308 8th Ave, Kenosha, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael James Church graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1164056727
  • Provider Enumeration Date: 02/23/2020
  • Last Update Date: 09/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5092134825
  • Enrollment ID: I20200929001168

Medical Identifiers

Medical identifiers for Michael James Church such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164056727NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5119-23 (Wisconsin)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical 5119-23 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
United Hospital SystemKenosha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vituity-wisconsin Hm Sc488005612622

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. Michael James Church is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael James Church, PA-C
3108 Market Ln Apt 804,
Kenosha, WI 53144-3463

Ph: (616) 295-5062
Michael James Church, PA-C
6308 8th Ave,
Kenosha, WI 53143-5031

Ph: (262) 656-2011

Reviews and Comments


Physician Assistant Nurses in Kenosha, WI

David B Kite, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-948-7000    
William T Merritt, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6121 Green Bay Rd Ste 100, Kenosha, WI 53142
Phone: 262-945-7557    Fax: 262-727-0841
Miss Sarah Rens, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 6308 8th Ave, Kenosha, WI 53143
Phone: 262-656-3590    Fax: 262-656-3591
Ms. Amber D Devine, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7401 104th Ave, Suite 110, Kenosha, WI 53142
Phone: 262-764-5595    Fax: 262-764-9314
Jeffrey Allen Greene, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-948-6770    
Michelle R Nelson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6308 8th Ave, Suite 505, Kenosha, WI 53143
Phone: 262-656-3525    Fax: 262-656-3560
Nadya M Modlin, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 10400 75th St, Emergency Department, Kenosha, WI 53142
Phone: 262-948-7000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.