Mitchell Kannal, is a medicare enrolled "Physical Therapist" provider in Kewaskum, Wisconsin. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and his current practice location is
1701 Fond Du Lac Ave, Kewaskum, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 626-4616.
Mitchell Kannal is licensed to practice in Wisconsin (license number 13543-24) 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 1255082350.
Healthcare Provider's Profile
| Full Name | Mitchell Kannal |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 8 Years |
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| Location | 1701 Fond Du Lac Ave, Kewaskum, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mitchell Kannal graduated from medical school in 2016
NPI Data:
- NPI Number: 1255082350
- Provider Enumeration Date: 01/11/2022
- Last Update Date: 01/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496140238
- Enrollment ID: I20220315000746
Medical Identifiers
Medical identifiers for Mitchell Kannal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255082350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 13543-24 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1052 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mitchell Kannal allows following entities to bill medicare on his behalf.
| Provider Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699 |
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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. Mitchell Kannal 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 |
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Mitchell Kannal,
N683 North Ave,
Oconomowoc, WI 53066-9315
Ph: () - | Mitchell Kannal,
1701 Fond Du Lac Ave,
Kewaskum, WI 53040-9129
Ph: (262) 626-4616 |
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