Samuel E Kaminski, | |
600 Walnut Ridge Dr, Hartland, WI 53029-9385 | |
(262) 369-7040 | |
(262) 369-7041 |
Full Name | Samuel E Kaminski |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 600 Walnut Ridge Dr, Hartland, 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 |
---|---|---|---|
1013495068 | NPI | - | NPPES |
100081894 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 8678 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center - Summit | Summit, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Samuel E Kaminski, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Samuel E Kaminski, 600 Walnut Ridge Dr, Hartland, WI 53029-9385 Ph: (262) 369-7040 |
Mrs. Mary Ellen Devine Touhey, RN MSN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: N79w28630 Appaloosa Ln, Hartland, WI 53029 Phone: 414-531-1676 | |
Dr. Colleen Marie Worth, DNP, APNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 555 S Industrial Dr Ste 1, Hartland, WI 53029 Phone: 920-944-8474 | |
Miranda L Rykiel, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 E Industrial Dr Unit 627, Hartland, WI 53029 Phone: 414-850-7586 | |
Kaitlin R. Ziemke, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Hartbrook Dr Ste H, Hartland, WI 53029 Phone: 262-367-7900 Fax: 262-369-7906 |