Mr Brent T Vissat, PA-C | |
10400 75th St, Kenosha, WI 53142-7884 | |
(262) 948-5600 | |
(262) 948-5735 |
Full Name | Mr Brent T Vissat |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 14 Years |
Location | 10400 75th St, Kenosha, 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 |
---|---|---|---|
1487966305 | NPI | - | NPPES |
100011215 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 2576-23 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Medicine Specialists Sc | 8729975461 | 216 |
Mailing Address | Practice Location Address |
---|---|
Mr Brent T Vissat, PA-C 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (262) 948-5600 | Mr Brent T Vissat, PA-C 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 948-5600 |
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 |