Pradeep Gopi Kumar, MD | |
8400 Washington Ave, Mount Pleasant, WI 53406-3735 | |
(262) 884-4000 | |
Not Available |
Full Name | Pradeep Gopi Kumar |
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Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 8400 Washington Ave, Mount Pleasant, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164463261 | NPI | - | NPPES |
32632100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 41877 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
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Pradeep Gopi Kumar, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Pradeep Gopi Kumar, MD 8400 Washington Ave, Mount Pleasant, WI 53406-3735 Ph: (262) 884-4000 |
Dr. Rebecca Lindsey Lescher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Lesley Delgado, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-8282 Fax: 262-687-8224 | |
Jason R Friedlander, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3805b Spring St Ste 130, Mount Pleasant, WI 53405 Phone: 262-631-8750 Fax: 262-631-8754 | |
Dr. Theresa Kathryn Umhoefer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-8282 | |
Dr. Nagendram Paidisetty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011 | |
Eva K Alessia, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3807 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-8282 |