Kyle Goham, - Medicare Anesthesiology Assistant in Menomonee Falls, WI

Kyle Goham, is a medicare enrolled "Anesthesiologist Assistant" in Menomonee Falls, Wisconsin. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice The Medical College Of Wisconsin Inc and his current practice location is W180n8085 Town Hall Rd, Dept Of Anesthesiology, Menomonee Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 257-5100.

Kyle Goham is licensed to practice in Wisconsin (license number 7717) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942638325.

Contact Information

Kyle Goham,
W180n8085 Town Hall Rd, Dept Of Anesthesiology,
Menomonee Falls, WI 53051-3518
(262) 257-5100
Not Available



Provider's Profile

Full NameKyle Goham
GenderMale
SpecialityAnesthesiology Assistant
Experience11 Years
LocationW180n8085 Town Hall Rd, Menomonee Falls, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kyle Goham graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1942638325
  • Provider Enumeration Date: 10/23/2013
  • Last Update Date: 06/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4981830197
  • Enrollment ID: I20160714000596

Medical Identifiers

Medical identifiers for Kyle Goham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942638325NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 006981 (Georgia)Secondary
367H00000XAnesthesiologist Assistant 7717 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Medical College Of Wisconsin Inc26683843711813

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyle Goham allows following entities to bill medicare on his behalf.
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259

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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. Kyle Goham 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 AddressPractice Location Address
Kyle Goham,
W180n8085 Town Hall Rd, Dept Of Anesthesiology,
Menomonee Falls, WI 53051-3518

Ph: (262) 257-5100
Kyle Goham,
W180n8085 Town Hall Rd, Dept Of Anesthesiology,
Menomonee Falls, WI 53051-3518

Ph: (262) 257-5100

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American Red Cross commits another $30M to support recovery efforts in Japan

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Anesthesiologist Assistant Nurses in Menomonee Falls, WI

Ammar Haq, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: W180n8085 Town Hall Rd, Anesthesiology, Menomonee Falls, WI 53051
Phone: 262-257-5100    
Ann-michael Holland, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051
Phone: 262-257-5100    Fax: 262-518-5052
Jesse Vitch, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: W180n8085 Town Hall Rd, Department Of Anesthesiology, Menomonee Falls, WI 53051
Phone: 262-257-5100    
David R Howard, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: W180n8085 Town Hall Rd, Department Of Anesthesiology, Menomonee Falls, WI 53051
Phone: 262-257-5100    
Sara Zemanovic, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051
Phone: 262-257-5100    Fax: 262-518-5052
Rebecca Maria Patel, CAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051
Phone: 262-257-5100    Fax: 262-518-5052
Tommy Ha Quach, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051
Phone: 262-251-1000    Fax: 262-518-5052

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