| Kyle Swanson, | |
|
215 E 1st St, Suite 310, Dixon, IL 61021-3166 | |
| (515) 210-9777 | |
| (815) 285-5699 |
| Full Name | Kyle Swanson |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 9 Years |
| Location | 215 E 1st St, Dixon, Illinois |
| 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 |
|---|---|---|---|
| 1053763664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 016005777 (Illinois) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016.005777 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
| Rochelle Community Hospital | Rochelle, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Provider Name | Ksb Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
| Provider Name | Katherine Shaw Bethea Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
| Provider Name | Osf Multi-specialty Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Swanson, 215 E 1st St, Suite 310, Dixon, IL 61021-3166 Ph: () - | Kyle Swanson, 215 E 1st St, Suite 310, Dixon, IL 61021-3166 Ph: (515) 210-9777 |
Gayana Wanniarachchi, Podiatrist Medicare: Medicare Enrolled Practice Location: 215 E 1st St Ste 111, Dixon, IL 61021 Phone: 815-345-5677 | |
Cara Lee Fontana, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 215 E 1st St Ste 111, Dixon, IL 61021 Phone: 815-285-5801 | |
Brandon R. Gumbiner, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St Ste 310, Dixon, IL 61021 Phone: 815-285-5801 Fax: 815-285-5699 | |
Dr. Michael J Wessels, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 215 E 1st St, Ste 306, Dixon, IL 61021 Phone: 815-285-5801 Fax: 815-285-5699 | |
Steven Yeschek, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Dixon, IL 61021 Phone: 815-285-5698 | |
Dr. James J Dukelow, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 716 N Galena Ave, Dixon, IL 61021 Phone: 815-284-2023 Fax: 630-897-6851 |