Shailaja Munagala, | |
1910 Alabama Street, Sturgeon Bay, WI 54235-3532 | |
(920) 530-3502 | |
Not Available |
Full Name | Shailaja Munagala |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1910 Alabama Street, Sturgeon Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538470604 | NPI | - | NPPES |
1538470604 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5643020 (Wisconsin) | Primary |
Entity Name | County Of San Joaquin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
Entity Name | San Joaquin Faculty Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
Mailing Address | Practice Location Address |
---|---|
Shailaja Munagala, 1910 Alabama Street, Sturgeon Bay, WI 54235-3532 Ph: (920) 530-5302 | Shailaja Munagala, 1910 Alabama Street, Sturgeon Bay, WI 54235-3532 Ph: (920) 530-3502 |
Dr. Scott Alan Anderson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1910 Alabama St, Sturgeon Bay, WI 54235 Phone: 920-746-7200 | |
Sandra I Martens, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 | |
Rick James Avery, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 | |
Dr. Andrzej P Kurek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 | |
Dr. Keith R. Anclam, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 | |
Paul N Greenlaw, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 311 N 3rd Ave, Sturgeon Bay, WI 54235 Phone: 920-743-0255 Fax: 920-743-6680 |