| Kevin J Hayes, DO | |
|
W5282 Amy Ave, Appleton, WI 54915-7233 | |
| (920) 358-1910 | |
| (920) 358-1992 |
| Full Name | Kevin J Hayes |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | W5282 Amy Ave, Appleton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831140326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 49435 (Wisconsin) | Primary |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J Hayes, DO 122 E College Ave, Appleton, WI 54911-5794 Ph: (920) 996-3264 | Kevin J Hayes, DO W5282 Amy Ave, Appleton, WI 54915-7233 Ph: (920) 358-1910 |
Dr. Kimberly J Seeger Langlais, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2575 E Evergreen Drive, Appleton, WI 54913 Phone: 920-969-5353 Fax: 414-337-7201 | |
Andre Krainik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551 | |
Elizabeth E Ermatinger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551 Fax: 920-954-2554 | |
Pankaj Jain, Pediatrics Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-7670 | |
Wayne J Rusin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-4950 | |
Ashley Preston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-4950 | |
Sharon Rink, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551 |