| Kevin L O'halloran, MD | |
|
123 Hospital Dr, Suite 1008, Watertown, WI 53098-3331 | |
| (920) 206-6500 | |
| (920) 261-4013 |
| Full Name | Kevin L O'halloran |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 38 Years |
| Location | 123 Hospital Dr, Watertown, 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 |
|---|---|---|---|
| 1821007022 | NPI | - | NPPES |
| 31932100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 34258 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital - Janesville | Janesville, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dean Health Systems Inc | 7012827983 | 1099 |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Entity Name | Divine Savior Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| Entity Name | Watertown Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin L O'halloran, MD 123 Hospital Dr, Suite 1008, Watertown, WI 53098-3331 Ph: (920) 206-6500 | Kevin L O'halloran, MD 123 Hospital Dr, Suite 1008, Watertown, WI 53098-3331 Ph: (920) 206-6500 |
Dr. Terry Mark Roman, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 123 Hospital Dr, Suite 1008, Watertown, WI 53098 Phone: 920-206-6500 Fax: 920-261-4013 | |
Steven P Rhodes, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 123 Hospital Dr, Suite 1008, Watertown, WI 53098 Phone: 920-206-6500 Fax: 920-261-4013 |