Mr Stephen G Kennebeck, PA-C in Oshkosh, WI - Medicare Physician Assistant

Mr Stephen G Kennebeck, PA-C is a medicare enrolled "Physician Assistant" in Oshkosh, Wisconsin. His current practice location is 855 N Westhaven Dr, Oshkosh, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 303-8700.

Mr Stephen G Kennebeck is licensed to practice in Wisconsin (license number 1043) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538169214.

Contact Information

	Mr Stephen G Kennebeck, PA-C
	855 N Westhaven Dr, Oshkosh, WI 54904-7668
	(920) 303-8700
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Stephen G Kennebeck
Gender	Male
Speciality	Physician Assistant
Location	855 N Westhaven Dr, Oshkosh, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538169214
Provider Enumeration Date: 07/26/2005
Last Update Date: 11/26/2021

Medicare PECOS Information:

PECOS PAC ID: 7517869506
Enrollment ID: I20040305001036

Medical Identifiers

Medical identifiers for Mr Stephen G Kennebeck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538169214	NPI	-	NPPES
42973600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1043 (Wisconsin)	Primary

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. Mr Stephen G Kennebeck 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 Address	Practice Location Address
Mr Stephen G Kennebeck, PA-C 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8786	Mr Stephen G Kennebeck, PA-C 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700

Reviews and Comments

Physician Assistant Nurses in Oshkosh, WI

Ms. Michelle Robin Kalman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4100 Treffert Drive, Oshkosh, WI 54901 Phone: 920-235-4910
Lyndsey Maves, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 056-691-1129
Caitlin Johnston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-456-7601
Mr. Marc S Jennings, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-8801
Ms. Marina V Mishin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-5632
Jennifer Parnell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1300 South Drive, Oshkosh, WI 54985 Phone: 920-235-4910
Brenda L Zimmerman, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2351 State Road 44, Oshkosh, WI 54904 Phone: 920-651-8855 Fax: 920-385-0287

Mr Stephen G Kennebeck, PA-C - Medicare Physician Assistant in Oshkosh, WI