| Kelly Baker, PAC | |
|
9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | |
| (414) 266-6457 | |
| (414) 266-2294 |
| Full Name | Kelly Baker |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043663818 | NPI | - | NPPES |
| 1043663818 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3828 (Wisconsin) | Primary |
| Entity Name | The Medical College of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Childrens Specialty Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942970405 PECOS PAC ID: 2567813447 Enrollment ID: O20240104002075 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Baker, PAC 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 Ph: (414) 266-6457 | Kelly Baker, PAC 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 Ph: (414) 266-6457 |
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 |
Kristin N Otero, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5000 W Chambers St, Milwaukee, WI 53210 Phone: 414-447-2000 |