Jagadeeswara Rao Musunuru, MD | |
459 E 1st St, Fond Du Lac, WI 54935-4505 | |
(920) 929-3502 | |
Not Available |
Full Name | Jagadeeswara Rao Musunuru |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 53 Years |
Location | 459 E 1st St, Fond Du Lac, 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 |
---|---|---|---|
1194940130 | NPI | - | NPPES |
30356800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 23168 (Wisconsin) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 14564 (Nebraska) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Medical Group-fox Valley Wisconsin Inc | 0244142420 | 240 |
County Of Outagamie | 7517930019 | 6 |
Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
Entity Name | County Of Outagamie |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629138995 PECOS PAC ID: 7517930019 Enrollment ID: O20040813000471 |
Entity Name | Ascension Ne Wisconsin, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407803638 PECOS PAC ID: 7719897784 Enrollment ID: O20061027000037 |
Mailing Address | Practice Location Address |
---|---|
Jagadeeswara Rao Musunuru, MD 459 E 1st St, Fond Du Lac, WI 54935-4505 Ph: (920) 929-3502 | Jagadeeswara Rao Musunuru, MD 459 E 1st St, Fond Du Lac, WI 54935-4505 Ph: (920) 929-3502 |
Michael J Keyes, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8885 | |
Dr. Steven A Sandstrom, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000 Fax: 920-907-7110 | |
Shelley D Piasecki, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 751 County Road K, Fond Du Lac, WI 54937 Phone: 920-929-6716 | |
Dr. Jennifer I Giesige, D.O Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Cheryl R Tapp, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8885 | |
Brian C Christenson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8885 |