Bharathi Pulla, MD | |
6125 Green Bay Rd, Kenosha, WI 53142-2928 | |
(262) 564-8636 | |
(262) 564-8637 |
Full Name | Bharathi Pulla |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 36 Years |
Location | 6125 Green Bay Rd, Kenosha, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962559302 | NPI | - | NPPES |
34105600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | 41182 (Wisconsin) | Secondary |
207QA0000X | Family Medicine - Adolescent Medicine | 41182 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred Hospice | West allis, WI | Hospice |
United Hospital System | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kenosha Community Health Center, Inc. | 0941195168 | 11 |
Entity Name | Kenosha Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265435960 PECOS PAC ID: 0941195168 Enrollment ID: O20040217000840 |
Entity Name | Surya Medical Group Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043415631 PECOS PAC ID: 5991773939 Enrollment ID: O20040917001040 |
Mailing Address | Practice Location Address |
---|---|
Bharathi Pulla, MD 6125 Green Bay Rd, Kenosha, WI 53142-2928 Ph: (262) 564-8636 | Bharathi Pulla, MD 6125 Green Bay Rd, Kenosha, WI 53142-2928 Ph: (262) 564-8636 |
Mr. John A Martini, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-3172 | |
Ali J Kilic, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1020 35th St, Kenosha, WI 53140 Phone: 262-652-3500 Fax: 262-997-0113 | |
Dragos G Nanul, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 | |
Dr. Paul V Capelli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7010 Fax: 262-948-7328 | |
Rodrigo A Mata Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-6995 Fax: 262-652-1370 | |
Dr. Charles Santilukka, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 35th St, Suite 160, Kenosha, WI 53140 Phone: 262-652-3500 | |
Priti J Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Aurora Health Care, Kenosha, WI 53142 Phone: 262-948-7000 |