Mitchell Kannal, is a medicare enrolled "Physical Therapist" provider in Kewaskum, Wisconsin. 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 | |
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Experience | 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. |
Medical Education and Training:
- Mitchell Kannal attended and graduated from in
NPI Data:
- NPI Number: 1255082350
- Provider Enumeration Date: 01/11/2022
- Last Update Date: 01/11/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mitchell Kannal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255082350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 13543-24 (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. 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 |
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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