Ajhani Kesavan, MD | |
1411 N Taylor Dr, Sheboygan, WI 53081-3043 | |
(920) 496-4700 | |
(603) 228-7307 |
Full Name | Ajhani Kesavan |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1411 N Taylor Dr, Sheboygan, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043837271 | NPI | - | NPPES |
100252791 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | RT-3658 (New Hampshire) | Secondary |
207Q00000X | Family Medicine | 82441-20 (Wisconsin) | Primary |
Entity Name | Prevea Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
Mailing Address | Practice Location Address |
---|---|
Ajhani Kesavan, MD Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Ajhani Kesavan, MD 1411 N Taylor Dr, Sheboygan, WI 53081-3043 Ph: (920) 496-4700 |
Dr. Thomas Matthew Ambelang, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1145 | |
Connor Hayes Harmann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Katie Gesch, D.O., M.S. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700 | |
Dr. James R Pawlak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1703 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-457-4438 Fax: 920-457-6748 | |
Jayapriya Palaniappan, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Bora You, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1483 |