Neelakantan Namboodiri, MD | |
1700 W Stout St, Rice Lake, WI 54868-5000 | |
(715) 236-8100 | |
Not Available |
Full Name | Neelakantan Namboodiri |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 1700 W Stout St, Rice Lake, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437259173 | NPI | - | NPPES |
32459200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 39709 (Wisconsin) | Primary |
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 |
Entity Name | Lakeview Medical Center Inc Of Rice Lake |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
Mailing Address | Practice Location Address |
---|---|
Neelakantan Namboodiri, MD 1000 N Oak Avenue, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Neelakantan Namboodiri, MD 1700 W Stout St, Rice Lake, WI 54868-5000 Ph: (715) 236-8100 |
Dr. Jemstone Wesley Bathe, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8164 Fax: 715-236-8322 | |
Vidya Sagar Reddy Cirra, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Jin Ha Kim, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
William Scott Carpenter, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1020 Lakeshore Dr, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Adriane Gianlupi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1051 West Ave, Rice Lake, WI 54868 Phone: 715-839-9280 | |
Sharath Kommu, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Michael F. Husak, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1700 W. Stout St., Rice Lake, WI 54868 Phone: 715-236-8100 |