| Dr Kevin Paul Kooiker, MD | |
| 1515 Lyndale Ave, Eau Claire, WI 54701-4362 | |
| (612) 978-1086 | |
| Not Available | 
| Full Name | Dr Kevin Paul Kooiker | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine - Emergency Medical Services | 
| Location | 1515 Lyndale Ave, Eau Claire, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134174949 | NPI | - | NPPES | 
| 588085800 | Medicaid | MN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 30773 (Minnesota) | Secondary | 
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 61479 (Wisconsin) | Primary | 
| Entity Name | Marshfield Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 | 
| Entity Name | Mchs Hospitals Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 | 
| Entity Name | Mchs Hospitals Inc | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kevin Paul Kooiker, MD 1515 Lyndale Ave, Eau Claire, WI 54701-4362 Ph: (612) 978-1086 | Dr Kevin Paul Kooiker, MD 1515 Lyndale Ave, Eau Claire, WI 54701-4362 Ph: (612) 978-1086 | 
| Thomas K. Hunt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3802 Oakwood Mall Dr, Eau Claire, WI 54701 Phone: 715-839-9280 | |
| Jeffrey J Groshens, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-5222 | |
| Mr. Daniel David Kaisler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-3311 | |
| Michael Arthur Aristides Bezzerides, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
| Matthew Olmstead, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-3635 | |
| Tracy Marko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
| Cheryl M Colbenson, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-717-4121 |