Konstantin A Mikheyev, DO is a
Family Medicine physician based in Winnebago, Wisconsin. Konstantin A Mikheyev is licensed to practice in Wisconsin (license number 60128-21) and his current practice location is 1300 South Drive, Winnebago, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 235-4910.
NPI number for Konstantin A Mikheyev is 1225320005 and his current mailing address is Po Box 9, 1300 South Drive, Winnebago, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225320005.
Physician's Profile
| Full Name | Konstantin A Mikheyev |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1300 South Drive, Winnebago, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225320005
- Provider Enumeration Date: 05/11/2011
- Last Update Date: 06/08/2015
Medical Identifiers
Medical identifiers for Konstantin A Mikheyev such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225320005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 60128-21 (Wisconsin) | Primary |
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. Konstantin A Mikheyev is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Konstantin A Mikheyev, DO
Po Box 9, 1300 South Drive,
Winnebago, WI 54985-0009
Ph: (920) 235-4910 | Konstantin A Mikheyev, DO
1300 South Drive,
Winnebago, WI 54985-0009
Ph: (920) 235-4910 |
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