| Todd Mckenzie, MD | |
|
1506 S Oneida St Fl 5, Appleton, WI 54915-1305 | |
| (920) 730-4950 | |
| (920) 730-5316 |
| Full Name | Todd Mckenzie |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1506 S Oneida St Fl 5, Appleton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528090990 | NPI | - | NPPES |
| 1528090990 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 43524-020 (Wisconsin) | Primary |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| 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 | Ascension Ne Wisconsin, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407803638 PECOS PAC ID: 7719897784 Enrollment ID: O20061027000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Mckenzie, MD 1506 S Oneida St Fl 5, Appleton, WI 54915-1305 Ph: (920) 730-4950 | Todd Mckenzie, MD 1506 S Oneida St Fl 5, Appleton, WI 54915-1305 Ph: (920) 730-4950 |
Dr. Kimberly J Seeger Langlais, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2575 E Evergreen Drive, Appleton, WI 54913 Phone: 920-969-5353 Fax: 414-337-7201 | |
Andre Krainik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551 | |
Elizabeth E Ermatinger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551 Fax: 920-954-2554 | |
Pankaj Jain, Pediatrics Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-7670 | |
Wayne J Rusin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-4950 | |
Ashley Preston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-4950 | |
Sharon Rink, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551 |