Ms Tisha M Kennebeck, PA-C in Oshkosh, WI

Ms Tisha M Kennebeck, PA-C is a medicare enrolled "Physician Assistant" in Oshkosh, Wisconsin. Her current practice location is 414 Doctors Ct, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 303-8700.

Ms Tisha M Kennebeck is licensed to practice in Wisconsin (license number 1085-023) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710094248.

Contact Information

	Ms Tisha M Kennebeck, PA-C
	414 Doctors Ct, Oshkosh, WI 54901
	(920) 303-8700
	(920) 303-5004

Map and Direction

Provider's Profile

Full Name	Ms Tisha M Kennebeck
Gender	Female
Speciality
Experience	Years
Location	414 Doctors Ct, Oshkosh, 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.

Medical Education and Training:

Ms Tisha M Kennebeck attended and graduated from in

NPI Data:

NPI Number: 1710094248
Provider Enumeration Date: 08/23/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Ms Tisha M Kennebeck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710094248	NPI	-	NPPES
42975400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1085-023 (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. Ms Tisha M Kennebeck is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Tisha M Kennebeck, PA-C 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326	Ms Tisha M Kennebeck, PA-C 414 Doctors Ct, Oshkosh, WI 54901 Ph: (920) 303-8700

Reviews and Comments

Physician Assistant Nurses in Oshkosh, WI

Ms. Michelle Robin Kalman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4100 Treffert Drive, Oshkosh, WI 54901 Phone: 920-235-4910
Caitlin Johnston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-456-7601
Mr. Marc S Jennings, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-8801
Ms. Marina V Mishin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-5632
Jennifer Parnell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1300 South Drive, Oshkosh, WI 54985 Phone: 920-235-4910
Brenda L Zimmerman, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2351 State Road 44, Oshkosh, WI 54904 Phone: 920-651-8855 Fax: 920-385-0287
Mrs. Diane J Haberman, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 950 S Koeller St, Oshkosh, WI 54902 Phone: 920-232-0718

Ms Tisha M Kennebeck, PA-C - Medicare in Oshkosh, WI