| Mark S Kermgard, MD | |
|
145 N Main St, Fond Du Lac, WI 54935-3423 | |
| (920) 926-8492 | |
| (920) 926-8903 |
| Full Name | Mark S Kermgard |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 40 Years |
| Location | 145 N Main St, Fond Du Lac, 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 |
|---|---|---|---|
| 1023094885 | NPI | - | NPPES |
| 36091592 | Medicaid | IL | |
| 31984300 | Medicaid | WI | |
| 1023094885 | Other | WI | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 36091592 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 34936020 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Kermgard, MD 145 N Main St, Fond Du Lac, WI 54935-3423 Ph: (920) 926-8492 | Mark S Kermgard, MD 145 N Main St, Fond Du Lac, WI 54935-3423 Ph: (920) 926-8492 |
Ann M Cappellari, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Dr. Scott J Stellmacher, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54935 Phone: 920-907-7000 | |
Martha W Bauder, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4600 | |
Matthew Murphy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Michelle C Pesek-mccoy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4600 | |
Dr. Michael J Grahl, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4600 |