| Ms Stephanie R Keller, PAC | |
|
550 E Timber Dr, Rhinelander, WI 54501-2894 | |
| (715) 226-9232 | |
| (949) 862-7646 |
| Full Name | Ms Stephanie R Keller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 550 E Timber Dr, Rhinelander, 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 |
|---|---|---|---|
| 1528164787 | NPI | - | NPPES |
| 41980300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1658 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aylesworth Dermatology Sc | 1557323342 | 2 |
| Entity Name | Aylesworth Dermatology SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649215302 PECOS PAC ID: 1557323342 Enrollment ID: O20041103000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stephanie R Keller, PAC 550 E Timber Dr Stop 1, Rhinelander, WI 54501-2894 Ph: (715) 226-9232 | Ms Stephanie R Keller, PAC 550 E Timber Dr, Rhinelander, WI 54501-2894 Ph: (715) 226-9232 |
Mr. Kurt Dekiep, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2251 N Shore Dr, Rhinelander, WI 54501 Phone: 715-361-2000 |
Marina Montserrat Mckissack, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2251 North Shore Dr, Rhinelander, WI 54501 Phone: 715-361-2000 |
Richard Kenneth Clark, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1630 Chippewa Dr, Rhinelander, WI 54501 Phone: 715-361-5480 |
Jennifer L Svencer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6479 Thunder Lake Rd, Rhinelander, WI 54501 Phone: 715-499-1661 |
Bonnie C Thorsen, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 E Timber Dr, Rhinelander, WI 54501 Phone: 715-342-7765 |
Alice F Kleinhans, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2260 N Shore Dr, Rhinelander, WI 54501 Phone: 715-420-2379 |
Paula M Havisto, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 2251 N Shore Dr, Rhinelander, WI 54501 Phone: 715-361-4700 |