| Beth L Gillis, MD | |
|
W3275 Wolf River Dr, Keshena, WI 54135-9202 | |
| (715) 799-3361 | |
| (715) 799-1326 |
| Full Name | Beth L Gillis |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 44 Years |
| Location | W3275 Wolf River Dr, Keshena, 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 |
|---|---|---|---|
| 1245262351 | NPI | - | NPPES |
| 30556300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25269-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Medical Center - Shawano | Shawano, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Menominee Indian Tribe Of Wisconsin | 2668459264 | 23 |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
| Entity Name | Menominee Indian Tribe Of Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568404721 PECOS PAC ID: 2668459264 Enrollment ID: O20040701000838 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth L Gillis, MD Po Box 970, Keshena, WI 54135-0970 Ph: (715) 799-5490 | Beth L Gillis, MD W3275 Wolf River Dr, Keshena, WI 54135-9202 Ph: (715) 799-3361 |
Peter C. Keenan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099 | |
Heather Marie Nennig, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Dr, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099 | |
Alexandra Wolf, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Rd, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-5854 | |
Amy J. Slagle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099 | |
Shannon B Daun, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099 | |
Estelle Ostgard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Menominee Tribal Clinic, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099 |