| Mrs Rachel Ann Longawa Ketter, PA-C | |
|
10400 75th St, Kenosha, WI 53142-7884 | |
| (262) 942-5828 | |
| Not Available |
| Full Name | Mrs Rachel Ann Longawa Ketter |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 10400 75th St, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760822845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3133-23 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 085004728 (Illinois) | Primary |
| Entity Name | Dupage Emergency Physicians Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255323481 PECOS PAC ID: 6507854288 Enrollment ID: O20040503000606 |
| Entity Name | Dupage Emergency Physicians Convenient Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922000363 PECOS PAC ID: 6608840046 Enrollment ID: O20040823000566 |
| Entity Name | Emergency Medicine Physicians of Cook County LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114168929 PECOS PAC ID: 8325197403 Enrollment ID: O20090520000156 |
| Entity Name | Cepamerica Illinois LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rachel Ann Longawa Ketter, PA-C 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2233 | Mrs Rachel Ann Longawa Ketter, PA-C 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 942-5828 |
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 |