Nandini Shah, MD | |
9555 76th Street, Pleasant Prairie, WI 53158 | |
(262) 577-8300 | |
Not Available |
Full Name | Nandini Shah |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 35 Years |
Location | 9555 76th Street, Pleasant Prairie, 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 |
---|---|---|---|
1639103716 | NPI | - | NPPES |
080171366 | Other | WI | MEDICARE RR |
338121367001 | Other | WI | ANTHEM |
32100900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35252 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension All Saints Hospital | Racine, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wheaton Franciscan Medical Group Inc | 8628980943 | 565 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
---|---|
Nandini Shah, MD 9555 76th Street, Pleasant Prairie, WI 53158 Ph: () - | Nandini Shah, MD 9555 76th Street, Pleasant Prairie, WI 53158 Ph: (262) 577-8300 |
William J Jeranek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th Street, Pleasant Prairie, WI 53158 Phone: 262-577-8300 | |
Aimee F Ledesma, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th Street, Pleasant Prairie, WI 53158 Phone: 262-577-8300 Fax: 262-577-8414 | |
Dr. Tomasz M Jarzembowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8300 Fax: 262-577-8414 | |
Dr. George T Poullette, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10256 Old Green Bay Road, Pleasant Prairie, WI 53158 Phone: 262-551-4200 Fax: 262-551-4947 | |
Michelle Louise Gauthier, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158 Phone: 262-577-8320 Fax: 262-577-8372 | |
Dr. Sarah Ramadani, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10256 Old Green Bay Rd, Pleasant Prairie, WI 53158 Phone: 262-551-4210 Fax: 262-551-4942 | |
Angelina M Montemurro, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9555 76th St, Suite 2602, Pleasant Prairie, WI 53158 Phone: 262-577-8400 Fax: 262-577-8476 |