| Dr Maria Kilari, MD | |
|
1650 S 41st St, Manitowoc, WI 54220-7316 | |
| (920) 320-2436 | |
| Not Available |
| Full Name | Dr Maria Kilari |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 1650 S 41st St, Manitowoc, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790081313 | NPI | - | NPPES |
| 1790081313 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 61545 (Wisconsin) | Primary |
| 207R00000X | Internal Medicine | 61545 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Family Memorial | Manitowoc, WI | Hospital |
| St Agnes Hospital | Fond du lac, WI | Hospital |
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Froedtert Manitowoc Medical Group, Llc | 2365836954 | 165 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Entity Name | Cleanslate Medical Group Of Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518404854 PECOS PAC ID: 4284905134 Enrollment ID: O20170810002045 |
| Entity Name | Froedtert Manitowoc Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maria Kilari, MD 1650 S 41st St, Manitowoc, WI 54220-7316 Ph: (920) 320-2436 | Dr Maria Kilari, MD 1650 S 41st St, Manitowoc, WI 54220-7316 Ph: (920) 320-2436 |