Ganesh N Pulla, MD | |
6125 Green Bay Rd, 100, Kenosha, WI 53142-2928 | |
(262) 564-8636 | |
(262) 564-8637 |
Full Name | Ganesh N Pulla |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 42 Years |
Location | 6125 Green Bay Rd, Kenosha, 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 |
---|---|---|---|
1679620918 | NPI | - | NPPES |
21279800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 40695 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
United Hospital System | Kenosha, WI | Hospital |
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 |
Entity Name | Independent Physicians Of Wisconsin Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871975920 PECOS PAC ID: 3274842034 Enrollment ID: O20151016001548 |
Mailing Address | Practice Location Address |
---|---|
Ganesh N Pulla, MD 6125 Green Bay Rd, 100, Kenosha, WI 53142-2928 Ph: (262) 564-8636 | Ganesh N Pulla, MD 6125 Green Bay Rd, 100, Kenosha, WI 53142-2928 Ph: (262) 564-8636 |
Hanna Mariani, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Ste 3070, Kenosha, WI 53143 Phone: 262-656-3710 Fax: 262-656-3715 | |
Leilane U Sta Romana, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd, #200, Kenosha, WI 53142 Phone: 262-658-3706 Fax: 262-658-1751 | |
Raymond W Knight, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Ste 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 | |
Dr. Rodrigo Buencamino Mata Iii, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-2710 | |
Michael H Zeihen, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 | |
Zebi Fatima, MD Nephrology Medicare: Medicare Enrolled Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-942-5600 | |
Timothy A. Sanborn, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-653-3650 Fax: 262-656-3672 |