| Ketevan Shonia, | |
|
3333 E Main St, Merrill, WI 54452-8959 | |
| (715) 539-5600 | |
| Not Available |
| Full Name | Ketevan Shonia |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 3333 E Main St, Merrill, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518642271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Wausau Hospital | Wausau, WI | Hospital |
| Aspirus Merrill Hospital | Merrill, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Wausau Hospital Inc | 6406757442 | 242 |
| Entity Name | Aspirus Wausau Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Ketevan Shonia, 3333 E Main St, Merrill, WI 54452-8959 Ph: Not Available | Ketevan Shonia, 3333 E Main St, Merrill, WI 54452-8959 Ph: (715) 539-5600 |
Jennifer Black, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 S Center Ave, Merrill, WI 54452 Phone: 715-536-5511 |
Steve Peter Daigle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 S Center Ave, Merrill, WI 54452 Phone: 715-539-5160 |
Kristin L Mocadlo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1205 O Day St, Merrill, WI 54452 Phone: 715-539-0101 |
Michele Mcnalley Wilson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 S Center Ave, Merrill, WI 54452 Phone: 405-203-0749 |