| Dr Kevin A Khater, MD, PHD | |
|
6308 8th Ave, Kenosha, WI 53143-5031 | |
| (262) 577-8206 | |
| (262) 577-8587 |
| Full Name | Dr Kevin A Khater |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 25 Years |
| Location | 6308 8th Ave, Kenosha, 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 |
|---|---|---|---|
| 1710938550 | NPI | - | NPPES |
| 200860960 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 01063742A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Hospital System | Kenosha, WI | Hospital |
| Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Froedtert South Inc | 9537071196 | 132 |
| Entity Name | Froedtert South Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin A Khater, MD, PHD 6308 8th Ave, Kenosha, WI 53143-5031 Ph: (262) 577-8206 | Dr Kevin A Khater, MD, PHD 6308 8th Ave, Kenosha, WI 53143-5031 Ph: (262) 577-8206 |
Lawrence Rufer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Dr. Mohsin Yunus Ghadiali, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 414-290-6720 Fax: 414-290-6755 | |
Peter R Hulick, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4623 75th St # 338, Kenosha, WI 53142 Phone: 617-312-9747 | |
Dr. Joshua Knute Elson, MD, MPH Radiology Medicare: Accepting Medicare Assignments Practice Location: 6811 118th Ave, Kenosha, WI 53142 Phone: 262-857-5750 | |
Steven D Huffman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 Fax: 262-948-5735 |