| Philip A Keith, MD | |
|
225 Memorial Dr, Berlin, WI 54923-1243 | |
| (920) 361-5524 | |
| (920) 361-5486 |
| Full Name | Philip A Keith |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 225 Memorial Dr, Berlin, 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 |
|---|---|---|---|
| 1831275890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 47873-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Ascension All Saints Hospital | Racine, WI | Hospital |
| Ascension Columbia St Mary's Hospital Milwaukee Ca | Milwaukee, WI | Hospital |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of Appleton Sc | 6002851862 | 31 |
| Premier Radiology Wisconsin Llc | 9537595533 | 111 |
| Baycare Clinic Llp | 4385554328 | 197 |
| Medical X-ray Consultants Ltd | 3274447313 | 38 |
| Entity Name | Baycare Clinic LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
| Entity Name | Thedacare, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Entity Name | Medical X-ray Consultants Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386601383 PECOS PAC ID: 3274447313 Enrollment ID: O20040308000614 |
| Entity Name | Tomah Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
| Entity Name | Radiology Associates of Appleton SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841229093 PECOS PAC ID: 6002851862 Enrollment ID: O20050622000606 |
| Entity Name | Tomah Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184765240 PECOS PAC ID: 6901897016 Enrollment ID: O20101120000172 |
| Entity Name | Specialists in Medical Imaging, SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20180509000697 |
| Entity Name | Premier Radiology Wisconsin LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952951154 PECOS PAC ID: 9537595533 Enrollment ID: O20200211002818 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip A Keith, MD 1035 Kepler Dr, Green Bay, WI 54311-8320 Ph: (920) 490-9046 | Philip A Keith, MD 225 Memorial Dr, Berlin, WI 54923-1243 Ph: (920) 361-5524 |
Brice Alvord, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5730 Fax: 920-361-5519 |