| John A Johnkoski, | |
|
425 Pine Ridge Blvd, Suite 209, Wausau, WI 54401-4123 | |
| (715) 847-0400 | |
| (715) 847-0401 |
| Full Name | John A Johnkoski |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 37 Years |
| Location | 425 Pine Ridge Blvd, Wausau, 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 |
|---|---|---|---|
| 1992737035 | NPI | - | NPPES |
| 32366900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 39318 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Wausau Hospital | Wausau, WI | Hospital |
| Ascension St Michaels Hospital | Stevens point, WI | Hospital |
| Aspirus Ironwood Hospital | Ironwood, MI | Hospital |
| Ascension Sacred Heart Hospital | Tomahawk, WI | Hospital |
| Aspirus Riverview Hospital & Clinics Inc | Wisconsin rapids, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Medical Group Inc | 1052223625 | 224 |
| Entity Name | Aspirus Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
| Mailing Address | Practice Location Address |
|---|---|
| John A Johnkoski, 425 Pine Ridge Blvd, Suite 209, Wausau, WI 54401-4123 Ph: (715) 847-0400 | John A Johnkoski, 425 Pine Ridge Blvd, Suite 209, Wausau, WI 54401-4123 Ph: (715) 847-0400 |
Ronald H Miles, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Suite 209, Wausau, WI 54401 Phone: 715-847-0400 Fax: 715-847-0401 | |
Dr. Amanda Leigh Eilers, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd Ste 209, Wausau, WI 54401 Phone: 715-847-0400 | |
Anselmo A Nunez, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2600 Stewart Ave Ste 148, Wausau, WI 54401 Phone: 715-847-6638 |