| Kengo Seo, PA-C | |
|
1000 N Oak Ave, Marshfield, WI 54449-5703 | |
| (715) 387-5511 | |
| Not Available |
| Full Name | Kengo Seo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 1000 N Oak Ave, Marshfield, 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 |
|---|---|---|---|
| 1225061450 | NPI | - | NPPES |
| 203242200 | Medicaid | MN | |
| 41973200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9798 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 2658 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeview Medical Center Of Rice Lake | Rice lake, WI | Hospital |
| Hayward Area Memorial Hospital | Hayward, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeview Medical Center Inc Of Rice Lake | 6103737820 | 131 |
| Mailing Address | Practice Location Address |
|---|---|
| Kengo Seo, PA-C 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Kengo Seo, PA-C 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 |
Eugene H. Larson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5245 | |
Michael J. Bauman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5275 | |
Casee Bell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5744 | |
Jenna A Menadue, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 | |
Tera R Wiesman, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 800-782-8581 | |
Megan A Kempf, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 | |
David Spencer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 |