| Kyle J Burkhamer, PA | |
|
2321 Stout Rd, Menomonie, WI 54751 | |
| (715) 235-9671 | |
| Not Available |
| Full Name | Kyle J Burkhamer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2321 Stout Rd, Menomonie, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922368794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363A00000X | Physician Assistant | 2931 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 2931 (Wisconsin) | Primary |
| Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
| Entity Name | Hudson Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396849303 PECOS PAC ID: 0648183061 Enrollment ID: O20031121000807 |
| Entity Name | Emergency Medicine of Racine SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598102717 PECOS PAC ID: 8527202142 Enrollment ID: O20130923000307 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154372944 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000001 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1740239557 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000112 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912958026 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000215 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700837812 PECOS PAC ID: 4385553627 Enrollment ID: O20171012001230 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle J Burkhamer, PA 200 1st St Sw, Rochester, MN 55905-0002 Ph: (715) 838-5222 | Kyle J Burkhamer, PA 2321 Stout Rd, Menomonie, WI 54751 Ph: (715) 235-9671 |
Kyle Krona, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 28, Menomonie, WI 54751 Phone: 715-895-6234 |
Michael Christian, Physician Assistant Medicare: Medicare Enrolled Practice Location: E5834 689th Ave, Menomonie, WI 54751 Phone: 715-360-6527 |
Amy M Burns, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 Fax: 715-233-7645 |
Ms. Jody M Chilsen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 Fax: 715-233-7645 |
Mrs. Amy R Heikkinen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 |
Amanda C Lange, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2321 Stout Road, Menomonie, WI 54751 Phone: 715-838-5222 |
Mr. Matthew C Trom, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 28, Menomonie, WI 54751 Phone: 715-895-6234 |