| Dr Kenneth Andrew Miller, MD | |
|
611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | |
| (920) 568-6090 | |
| (920) 568-6083 |
| Full Name | Dr Kenneth Andrew Miller |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 611 Sherman Ave E, Fort Atkinson, 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 |
|---|---|---|---|
| 1962543496 | NPI | - | NPPES |
| 1962543496 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 11253504-1205 (Utah) | Secondary |
| 208M00000X | Hospitalist | M-13495 (Idaho) | Secondary |
| 207R00000X | Internal Medicine | 29654 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Teton Valley Hospital | Driggs, ID | Hospital |
| St Johns Medical Center | Jackson, WY | Hospital |
| Steele Memorial Medical Center | Salmon, ID | Hospital |
| Star Valley Medical Center | Afton, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utah Regional Hospitalists Llc | 4789807165 | 114 |
| Entity Name | St Joseph Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790816262 PECOS PAC ID: 2961497235 Enrollment ID: O20041220001093 |
| Entity Name | Vibra Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659705424 PECOS PAC ID: 8921233933 Enrollment ID: O20141105002107 |
| Entity Name | Utah Regional Hospitalists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740715507 PECOS PAC ID: 4789807165 Enrollment ID: O20170811001682 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Andrew Miller, MD 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 Ph: (920) 568-6090 | Dr Kenneth Andrew Miller, MD 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 Ph: (920) 568-6090 |
Jennifer Ann Winter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-5500 | |
Nathaniel J Fullerton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Sherman Ave, Fort Atkinson, WI 53538 Phone: 920-568-5411 Fax: 920-568-4004 | |
Dr. Ailleen R. Alquinto Anonuevo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 | |
Dane Schultz, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571 | |
Mrs. Laura Koenig, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571 Fax: 920-563-7705 | |
Dr. Jennifer L Klenske, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Sherman Ave, Fort Atkinson, WI 53538 Phone: 920-568-5000 Fax: 920-568-4004 | |
Dr. Thomas Tackman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571 Fax: 920-563-7705 |