Subash Bastakoti, MD | |
2845 Greenbrier Rd, Green Bay, WI 54311-6519 | |
(920) 288-8000 | |
Not Available |
Full Name | Subash Bastakoti |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 11 Years |
Location | 2845 Greenbrier Rd, Green Bay, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770967036 | NPI | - | NPPES |
100099224 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301108025 (Michigan) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | 72088 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Hospital | Nashua, NH | Hospital |
Holy Family Hospital | Methuen, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Incare Llc | 1153658851 | 35 |
Incare Llc | 1153658851 | 35 |
Entity Name | Incare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639655467 PECOS PAC ID: 1153658851 Enrollment ID: O20220207000476 |
Mailing Address | Practice Location Address |
---|---|
Subash Bastakoti, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2377 | Subash Bastakoti, MD 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-8000 |
Amritha Chandrahasa Karkera, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 | |
Yaw D Berko, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Lee James Klemens, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705 | |
Dr. Kevin L Mortara, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659 | |
William T Witmer, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311 Phone: 920-288-8300 Fax: 920-288-8305 | |
Jay Matthew Salmon, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 | |
Dr. Alay Mansurov, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659 |