| Shayna Kamin, DO | |
|
2600 S Heritage Woods Dr, Appleton, WI 54915-1408 | |
| (920) 225-7875 | |
| (920) 993-5003 |
| Full Name | Shayna Kamin |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 2600 S Heritage Woods Dr, Appleton, 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 |
|---|---|---|---|
| 1609281567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | TP14078 (Maine) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 69714 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare At Home | Appleton, WI | Hospice |
| Compassus Green Bay | Green bay, WI | Hospice |
| Heartland Hhc And Hospice | De pere, WI | Hospice |
| Thedacare Medical Center - Shawano | Shawano, WI | Hospital |
| Thedacare Medical Center - New London | New london, WI | Hospital |
| Pines Post Acute And Memory Care | Clintonville, WI | Nursing home |
| Greentree Health And Rehab Ctr | Clintonville, WI | Nursing home |
| St Joseph Residence | New london, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thedacare Incorporated | 1759294887 | 533 |
| 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 | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Aspirus Stevens Point Hospital & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Shayna Kamin, DO 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 225-7875 | Shayna Kamin, DO 2600 S Heritage Woods Dr, Appleton, WI 54915-1408 Ph: (920) 225-7875 |
Michael John Van Abel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 | |
Stephen C Fuller, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 | |
Samuel James Heiks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 Fax: 920-996-1054 | |
Brittany E Goodrich-braun, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 | |
Dirk Jon Derksen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Wagon Wheel Dr, Appleton, WI 54913 Phone: 920-731-6374 | |
Saba R Khan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-702-6371 Fax: 920-404-2634 | |
Ms. Cynthia Frances Susedik, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 Fax: 920-993-5037 |