| Mrs Khalyne Theryse Johnson, MD | |
|
1813 Ashland Ave, Sheboygan, WI 53081-6125 | |
| (920) 458-4010 | |
| Not Available |
| Full Name | Mrs Khalyne Theryse Johnson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 1813 Ashland Ave, Sheboygan, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720341274 | NPI | - | NPPES |
| 100036467 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 61556-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora At Home | Green bay, WI | Home health agency |
| Aurora Sheboygan Memorial Medical Ctr | Sheboygan, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Khalyne Theryse Johnson, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Mrs Khalyne Theryse Johnson, MD 1813 Ashland Ave, Sheboygan, WI 53081-6125 Ph: (920) 458-4010 |
Dr. Thomas Matthew Ambelang, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1145 | |
Connor Hayes Harmann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Ajhani Kesavan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1411 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-496-4700 Fax: 603-228-7307 | |
Katie Gesch, D.O., M.S. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700 | |
Dr. James R Pawlak, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1703 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-457-4438 Fax: 920-457-6748 | |
Jayapriya Palaniappan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Bora You, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1483 |