| Dr Kent Carlton Schaefer, MD | |
|
1520 N Meade St, Appleton, WI 54911-3762 | |
| (920) 734-7181 | |
| (920) 734-0621 |
| Full Name | Dr Kent Carlton Schaefer |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1520 N Meade St, Appleton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801888011 | NPI | - | NPPES |
| 32155400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 32613 (Wisconsin) | Primary |
| Entity Name | Ear Nose & Throat Surgical Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629094214 PECOS PAC ID: 5991803702 Enrollment ID: O20070601000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kent Carlton Schaefer, MD 3113 W Twin Willow Ct, Appleton, WI 54914-6645 Ph: (920) 832-1260 | Dr Kent Carlton Schaefer, MD 1520 N Meade St, Appleton, WI 54911-3762 Ph: (920) 734-7181 |
Dr. Steven James Vandenberg, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1520 N Meade St, Appleton, WI 54911 Phone: 920-734-7181 Fax: 920-734-0621 | |
Dr. Todd Andrew Meyer, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1501 S Madison St, Appleton, WI 54915 Phone: 920-730-4443 | |
Dr. Matthew Edward Bettag, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1520 N Meade St, Appleton, WI 54911 Phone: 920-734-7181 Fax: 920-734-0621 | |
John Thomas Mcmahan, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 247 S Nicolet Rd, Appleton, WI 54914 Phone: 888-938-3838 Fax: 888-919-1083 | |
Dr. Michael James Mcavoy, D. O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1520 N Meade St, Appleton, WI 54911 Phone: 920-734-7181 Fax: 920-734-0621 | |
Gregory J Swanson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1501 S Madison St, Appleton, WI 54915 Phone: 920-730-4443 | |
Dr. Ryan Timothy Funk, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 247 S Nicolet Rd, Appleton, WI 54914 Phone: 888-938-3838 Fax: 888-919-1083 |