Dr Suhas Channappa, MD, | |
13250 Washington Ave, Mount Pleasant, WI 53177-1516 | |
(888) 720-2012 | |
Not Available |
Full Name | Dr Suhas Channappa |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 15 Years |
Location | 13250 Washington Ave, Mount Pleasant, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851604383 | NPI | - | NPPES |
100030710 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301096539 (Michigan) | Secondary |
207P00000X | Emergency Medicine | 60337 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Marshfield Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Mailing Address | Practice Location Address |
---|---|
Dr Suhas Channappa, MD, 13250 Washington Ave, Mount Pleasant, WI 53177-1516 Ph: (888) 720-2012 | Dr Suhas Channappa, MD, 13250 Washington Ave, Mount Pleasant, WI 53177-1516 Ph: (888) 720-2012 |
Dr. James Samuel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4088 Fax: 262-884-4078 | |
Michael G Manske, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4088 | |
Dr. Joseph Thomas Humphrey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4201 Fax: 262-687-4334 | |
Dr. Matthew John Clark, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4493 |