| Michael James Church, PA-C | |
|
6308 8th Ave, Kenosha, WI 53143-5031 | |
| (262) 656-2011 | |
| Not Available |
| Full Name | Michael James Church |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 6308 8th Ave, Kenosha, 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 |
|---|---|---|---|
| 1164056727 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Froedtert Pleasant Prairie Hospital | Pleasant prairie, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity-wisconsin Hm Sc | 4880056126 | 29 |
| Entity Name | Vituity-wisconsin HM SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679265912 PECOS PAC ID: 4880056126 Enrollment ID: O20230817002412 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael James Church, PA-C 3108 Market Ln Apt 804, Kenosha, WI 53144-3463 Ph: (616) 295-5062 | Michael James Church, PA-C 6308 8th Ave, Kenosha, WI 53143-5031 Ph: (262) 656-2011 |
David B Kite, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7000 |
William T Merritt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6121 Green Bay Rd Ste 100, Kenosha, WI 53142 Phone: 262-945-7557 Fax: 262-727-0841 |
Inna Ialama, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6811 118th Ave, Kenosha, WI 53142 Phone: 262-857-5750 |
Miss Sarah Rens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-3590 Fax: 262-656-3591 |
Alison M Ketterhagen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 |
Elizabeth Bisciglia, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7540 22nd Ave, Kenosha, WI 53143 Phone: 262-656-7800 Fax: 262-656-6957 |
Mr. William Henry Price, RSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4819 5th Ave, Unit 2, Kenosha, WI 53140 Phone: 847-917-3666 Fax: 888-370-3138 |