| Konstantin Y Mikhailov, MD | |
|
575 West River Woods Parkway, Glendale, WI 53212 | |
| (414) 961-6700 | |
| (414) 961-6727 |
| Full Name | Konstantin Y Mikhailov |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 41 Years |
| Location | 575 West River Woods Parkway, Glendale, 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 |
|---|---|---|---|
| 1881641074 | NPI | - | NPPES |
| 34122600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 42850 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orthopaedic Hospital Of Wi | Glendale, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Lakes Anesthesia And Pain Specialists Sc | 2365598406 | 14 |
| Orthopaedic Hospital Of Wisconsin, Llc | 4981741709 | 18 |
| Entity Name | Great Lakes Anesthesia And Pain Specialists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720218647 PECOS PAC ID: 2365598406 Enrollment ID: O20090915000534 |
| Entity Name | Orthopaedic Hospital Of Wisconsin, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669584983 PECOS PAC ID: 4981741709 Enrollment ID: O20160106001182 |
| Mailing Address | Practice Location Address |
|---|---|
| Konstantin Y Mikhailov, MD 4555 West Schroeder Drive, Suite 170, Milwaukee, WI 53223 Ph: (414) 365-3210 | Konstantin Y Mikhailov, MD 575 West River Woods Parkway, Glendale, WI 53212 Ph: (414) 961-6700 |
Eugene P Sinclair, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 575 West River Woods Parkway, Glendale, WI 53212 Phone: 414-961-6700 Fax: 414-961-6727 | |
Mary T Breger, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7007 N Range Line Rd, Glendale, WI 53209 Phone: 414-352-3341 Fax: 414-247-4588 | |
Catherine C Mingo, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7007 N Range Line Rd, Glendale, WI 53209 Phone: 414-352-3341 Fax: 414-247-4588 | |
Maelynn D Colinco, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7007 North Range Line Road, Glendale, WI 53209 Phone: 414-352-3341 Fax: 414-247-4588 | |
James G Klamik, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 575 W River Woods Pkwy, Glendale, WI 53212 Phone: 414-961-6700 Fax: 414-961-6727 | |
Susan Laura Santelle, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7007 N Range Line Rd, Glendale, WI 53209 Phone: 414-352-3341 Fax: 414-247-4772 | |
Dr. Anna-maria Veytsman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7007 N Range Line Rd, Glendale, WI 53209 Phone: 414-352-3341 |