| Ms Tisha M Kennebeck, PA-C | |
|
414 Doctors Ct, Oshkosh, WI 54901 | |
| (920) 303-8700 | |
| (920) 303-5004 |
| Full Name | Ms Tisha M Kennebeck |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 414 Doctors Ct, Oshkosh, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710094248 | NPI | - | NPPES |
| 42975400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1085-023 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3269 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tisha M Kennebeck, PA-C 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Ms Tisha M Kennebeck, PA-C 414 Doctors Ct, Oshkosh, WI 54901 Ph: (920) 303-8700 |
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 |