| Charles D Cline, PA-C | |
|
111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 | |
| (414) 290-6720 | |
| (414) 290-6755 |
| Full Name | Charles D Cline |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 34 Years |
| Location | 111 E Wisconsin Ave, Milwaukee, 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 |
|---|---|---|---|
| 1497782247 | NPI | - | NPPES |
| 42938900 | Medicaid | WI | |
| 970012479 | Other | WI | MEDICARE RAILROAD |
| 970012480 | Other | WI | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 713-023 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Froedtert Pleasant Prairie Hospital | Pleasant prairie, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Froedtert South Inc | 9537071196 | 158 |
| Entity Name | Froedtert South Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493 |
| Entity Name | Froedtert &the Medical College of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Entity Name | Vituity-wisconsin Em SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326730664 PECOS PAC ID: 2466814538 Enrollment ID: O20230822001554 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles D Cline, PA-C 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 Ph: (414) 290-6720 | Charles D Cline, PA-C 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 Ph: (414) 290-6720 |
Amanda J Mueller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2901 W Kinnickinnic River Pkwy Ste 507, Milwaukee, WI 53215 Phone: 414-649-3780 |
Andrea L Bequest, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Internal Medicine, Milwaukee, WI 53226 Phone: 414-955-0350 Fax: 414-805-6851 |
Meredith Batzner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-5400 Fax: 414-955-0115 |
Claire Kathryn Choren, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6400 |
Mrs. Tedan Hu Henkel, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6400 Fax: 404-955-0213 |
Mr. Steven P Kisch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Neurosurgery, Milwaukee, WI 53226 Phone: 414-805-5400 Fax: 414-955-0115 |
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