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Dean O Schiller

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

10625 W North Ave Ste 102, Milwaukee, WI 53226-2315

PECOS Enrollment

This provider is enrolled in PECOS as DEAN SCHILLER.

Based on the most recent information from CMS, provider Dean O Schiller is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1669452413
Provider Type
Individual
Full Name
Schiller, Dean O
Credential
P.A.

Gender
Male
Sole Proprietor
No
Enumeration Date
1/18/2006
Last Updated
7/18/2017

Contact Information

Practice Location

10625 W North Ave Ste 102, Milwaukee, WI 53226-2315

(414) 877-5350

(414) 877-5360

Mailing Location

10625 W North Ave, Suite 102, Milwaukee, WI 53226-2315

(414) 877-5350

(414) 877-5360

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 609-023 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 42958100	Description Medicaid	Issuer Unlisted Wisconsin

Dean O Schiller

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Mcdonald, Mark C

Basse, Erika J

Safranek, Angela M

Carr, Madeline

Toth, Heidi J

Santiago-Roque, Jose Jesus

Sippy, Megan

Cortez, Olivia

Treat, Matthew W

Walsh, Austin Thomas