Anita Thakur, MD | |
2323 N Lake Drive, Milwaukee, WI 53211 | |
(414) 291-1989 | |
(414) 291-1129 |
Full Name | Anita Thakur |
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Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 2323 N Lake Drive, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255434353 | NPI | - | NPPES |
34254000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | 43392 (Wisconsin) | Primary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 43392 (Wisconsin) | Primary |
Entity Name | Columbia St Marys Hospital Milwaukee Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
Mailing Address | Practice Location Address |
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Anita Thakur, MD 13706 N Martin Way, Mequon, WI 53097 Ph: (262) 243-9880 | Anita Thakur, MD 2323 N Lake Drive, Milwaukee, WI 53211 Ph: (414) 291-1989 |
Dr. James Vaughan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 8701 W Watertown Plank Rd, Milwaukee, WI 53226 Phone: 414-456-8296 | |
Dr. Elena V Roukhadze, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000 Fax: 414-389-4187 | |
Dr. Timothy Greenwell, MD Pathology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-3666 Fax: 262-560-1579 | |
Waseem Anani, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 638 N 18th St, Milwaukee, WI 53233 Phone: 412-937-6358 | |
Dr. Neil L Drake, MD Pathology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Department Of Pathology, Milwaukee, WI 53226 Phone: 414-805-6966 Fax: 414-805-6980 | |
Dr. Zeenath Asma, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3237 S 16th St, Milwaukee, WI 53215 Phone: 414-647-5633 | |
Amanda Leigh Wilson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Acl Laboratories, Milwaukee, WI 53215 Phone: 414-649-5831 Fax: 414-649-7850 |