Midwest Sports and Interventional Spine SC
A Medicare group practice based in Kenosha, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8325447170), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8325447170
- Provider type
- DME Supplier - Multi-Specialty - Physician, DME Supplier - Physician - Anesthesiology, Part B Supplier - Clinic/Group Practice
- Enrolled in
- WI
- Enrollments
- 3
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20210527000135 | WI | Part B Supplier - Clinic/Group Practice | 1831770510 |
| O20250516001770 | WI | DME Supplier - Physician - Anesthesiology | 1831770510 |
| O20251219003999 | WI | DME Supplier - Multi-Specialty - Physician | 1740154947 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Midwest Sports and Interventional Spine SC
- Interventional Pain Medicine Physician
- Lake Geneva, WI
- NPI 1740154947
-
Midwest Sports and Interventional Spine SC
- Interventional Pain Medicine Physician
- Kenosha, WI
- NPI 1831770510
Practice locations
- Lake Geneva, WI2
- Kenosha, WI2
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (5).
-
Shaye Dostal, PA-C
- Physician Assistant
- Milwaukee, WI
- NPI 1104796234
-
Monish Merchant, M.D.
- Vascular & Interventional Radiology Physician
- Fort Lauderdale, FL
- NPI 1609187186
-
Cyril N Philip, MD
- Interventional Pain Medicine Physician
- Lake Geneva, WI
- NPI 1578713343
-
Brian Schwartz, MD
- Vascular & Interventional Radiology Physician
- Elgin, IL
- NPI 1023058641
-
Kristin Yusten, NP
- Family Nurse Practitioner
- Libertyville, IL
- NPI 1053990630
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.