| Dr Kenneth D Kleist, MD | |
|
1970 S Ridge Rd, Green Bay, WI 54304-4125 | |
| (920) 430-4888 | |
| (920) 430-4889 |
| Full Name | Dr Kenneth D Kleist |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 26 Years |
| Location | 1970 S Ridge Rd, Green Bay, 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 |
|---|---|---|---|
| 1528047826 | NPI | - | NPPES |
| 450030707 | Other | WI | MEDICARE PTAN |
| 711290105 | Other | WI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 54913-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bellin Memorial Hospital | Green bay, WI | Hospital |
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bellin Memorial Hospital Inc | 8820900749 | 536 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Entity Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth D Kleist, MD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222 | Dr Kenneth D Kleist, MD 1970 S Ridge Rd, Green Bay, WI 54304-4125 Ph: (920) 430-4888 |
William Victor Albiero, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311 Phone: 920-430-8113 | |
William J. Enright, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2223 Lime Kiln Rd, Green Bay, WI 54311 Phone: 920-468-0246 Fax: 920-432-9309 | |
Rolf Smart Lulloff, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1715 Dousman St, Green Bay, WI 54303 Phone: 920-496-4700 Fax: 920-496-4747 | |
Mr. Thomas Andrew Sullivan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311 Phone: 920-430-8120 Fax: 920-430-8122 | |
Dr. Michael K Ryan, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Michael Jameson Florack, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-431-1972 | |
Dr. Steven Harold Goldberg, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1970 S Ridge Rd, Green Bay, WI 54304 Phone: 920-430-4888 Fax: 920-430-4889 |