Pragya Virendrakumar Jain, | |
W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | |
(262) 251-1000 | |
(262) 251-1000 |
Full Name | Pragya Virendrakumar Jain |
---|---|
Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | W180n8085 Town Hall Rd, Menomonee Falls, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174150494 | NPI | - | NPPES |
1174150494 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 76837 (Wisconsin) | Primary |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
---|---|
Pragya Virendrakumar Jain, W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 Ph: (262) 251-1000 | Pragya Virendrakumar Jain, W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 Ph: (262) 251-1000 |
Dr. Mary C Fernandez, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Hospital Based @ Community Memorial, W180 N8085 Town Hall Road, Menomonee Falls, WI 53051 Phone: 414-805-3666 | |
Dr. Gerardo P Fronda, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: W180n8085 Town Hall Rd, Dept Of Pathology, Menomonee Falls, WI 53051 Phone: 262-257-3254 Fax: 262-257-5545 | |
Dr. Juan Miguel Limjoco, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd Dept Of, Menomonee Falls, WI 53051 Phone: 262-251-1000 |