Dr Nagendram Paidisetty, MD | |
3801 Spring St, Mount Pleasant, WI 53405-1667 | |
(262) 687-4011 | |
Not Available |
Full Name | Dr Nagendram Paidisetty |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 3801 Spring St, Mount Pleasant, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770696338 | NPI | - | NPPES |
036-114717 | Medicaid | IL | |
1770696338 | Medicaid | WI | |
31818700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 036-114717 (Illinois) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 33013-020 (Wisconsin) | Primary |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
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Dr Nagendram Paidisetty, MD 3801 Spring St, Mount Pleasant, WI 53405-1667 Ph: (262) 687-4011 | Dr Nagendram Paidisetty, MD 3801 Spring St, Mount Pleasant, WI 53405-1667 Ph: (262) 687-4011 |
Dr. Rebecca Lindsey Lescher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Lesley Delgado, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-8282 Fax: 262-687-8224 | |
Pradeep Gopi Kumar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Jason R Friedlander, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3805b Spring St Ste 130, Mount Pleasant, WI 53405 Phone: 262-631-8750 Fax: 262-631-8754 | |
Dr. Theresa Kathryn Umhoefer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-8282 | |
Eva K Alessia, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-8282 |