Mr Frederick D Kosmach, PA-C is a
Physician Assistant based in Minong, Wisconsin. Mr Frederick D Kosmach is licensed to practice in Wisconsin (license number 897) and his current practice location is
600 W Shell Creek Rd, Minong, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 466-2201.
NPI number for Mr Frederick D Kosmach is 1760487722 and his current mailing address is 600 W Shell Creek Rd, Minong, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760487722.
Provider's Profile
| Full Name | Mr Frederick D Kosmach |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 600 W Shell Creek Rd, Minong, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760487722
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 05/08/2014
Medical Identifiers
Medical identifiers for Mr Frederick D Kosmach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760487722 | NPI | - | NPPES |
| 42978900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 897 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Frederick D Kosmach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Frederick D Kosmach, PA-C 600 W Shell Creek Rd, Minong, WI 54859-9302 Ph: (715) 466-2201 | Mr Frederick D Kosmach, PA-C 600 W Shell Creek Rd, Minong, WI 54859-9302 Ph: (715) 466-2201 |
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