Dr Kitima Boonvisudhi, in Milwaukee, WI - Medicare General Surgery

Dr Kitima Boonvisudhi, is a medicare enrolled "Surgery" physician in Milwaukee, Wisconsin. She went to University Of Pittsburgh School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Healogics Specialty Physicians Of Oregon Llc and her current practice location is 2901 W Kinnickinnic River Pkwy, Ste 311, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 385-8723.

Dr Kitima Boonvisudhi is licensed to practice in Wisconsin (license number 59966) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134198005.

Contact Information

	Dr Kitima Boonvisudhi,
	2901 W Kinnickinnic River Pkwy, Ste 311, Milwaukee, WI 53215-3677
	(414) 385-8723
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kitima Boonvisudhi
Gender	Female
Speciality	General Surgery
Experience	30 Years
Location	2901 W Kinnickinnic River Pkwy, Milwaukee, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kitima Boonvisudhi attended and graduated from University Of Pittsburgh School Of Medicine in 1994

NPI Data:

NPI Number: 1134198005
Provider Enumeration Date: 03/14/2006
Last Update Date: 01/30/2013

Medicare PECOS Information:

PECOS PAC ID: 1456434091
Enrollment ID: I20140807000488

Medical Identifiers

Medical identifiers for Dr Kitima Boonvisudhi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134198005	NPI	-	NPPES
02440095	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	204411 (New York)	Secondary
208600000X	Surgery	59966 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Signature Healthcare At Home	Eugene, OR	Home health agency
Mckenzie-willamette Medical Center	Springfield, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healogics Specialty Physicians Of Oregon Llc	1254637846	8

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kitima Boonvisudhi allows following entities to bill medicare on her behalf.

Entity Name	Albany General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310

Entity Name	Healogics Specialty Physicians Of Oregon Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841664752 PECOS PAC ID: 1254637846 Enrollment ID: O20160308001352

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kitima Boonvisudhi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kitima Boonvisudhi, 2901 W Kinnickinnic River Pkwy, Ste 311, Milwaukee, WI 53215-3677 Ph: (414) 385-8723	Dr Kitima Boonvisudhi, 2901 W Kinnickinnic River Pkwy, Ste 311, Milwaukee, WI 53215-3677 Ph: (414) 385-8723

Reviews and Comments

Surgery Doctors in Milwaukee, WI

Dr. David L Larson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 8700 Watertown Plank Road, Wisconsin Athletic Club Bldg, Milwaukee, WI 53226 Phone: 414-805-3666
Dr. John J Aiken, MD Surgery Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226 Phone: 414-266-6550 Fax: 414-266-6579
Nicole M Zaremba, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2801 W Kinnickinnic River Pkwy Ste 145, Milwaukee, WI 53215 Phone: 414-385-2301
Dr. Jeremy Holzmacher Levin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-1700 Fax: 414-955-0072
Dr. Keith T Oldham, MD Surgery Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226 Phone: 414-266-6550 Fax: 414-266-6579
William R Deshur, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2801 W Kk River Pkwy, Suite 330, Milwaukee, WI 53215 Phone: 414-649-3240 Fax: 414-649-3244
Dr. Timothy Joseph Ridolfi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Dept Of Surgery - Division Of Colorectal Surgery, Milwaukee, WI 53226 Phone: 414-805-5783 Fax: 414-454-0152

Dr Kitima Boonvisudhi, - Medicare General Surgery in Milwaukee, WI