| John Kellner, PA-C | |
|
855 S Main St, Oconto Falls, WI 54154-1241 | |
| (920) 496-4700 | |
| Not Available |
| Full Name | John Kellner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 855 S Main St, Oconto Falls, 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 |
|---|---|---|---|
| 1275049033 | NPI | - | NPPES |
| 100073938 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4268-23 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs St Clare Memorial Hospital | Oconto falls, WI | Hospital |
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Clinic Llp | 4385554328 | 197 |
| St Clare Memorial Hospital, Inc | 0446211395 | 62 |
| St Clare Memorial Hospital, Inc | 0446211395 | 62 |
| St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 593 |
| 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 Medical Center - Shawano, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
| Entity Name | St. Nicholas Hospital-sisters of the Third Order of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
| Entity Name | Thedacare Medical Center - Waupaca, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780782680 PECOS PAC ID: 3072504216 Enrollment ID: O20040524000645 |
| Entity Name | St Clare Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037 |
| Entity Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
| Entity Name | St Vincent Hospital-hospital Sisters-third Order of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
| Mailing Address | Practice Location Address |
|---|---|
| John Kellner, PA-C Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | John Kellner, PA-C 855 S Main St, Oconto Falls, WI 54154-1241 Ph: (920) 496-4700 |
Mengxia Zhang, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 835 S Main St, Oconto Falls, WI 54154 Phone: 920-496-4700 |
Gavin Paul Peters, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Highland Dr, Oconto Falls, WI 54154 Phone: 920-846-3092 Fax: 920-846-8313 |
Mr. William J Keutzer, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 127 N Hillside Ave, Oconto Falls, WI 54154 Phone: 920-846-0530 |