Tanvi Adusumilli, MD | |
8400 Washington Ave, Mount Pleasant, WI 53406-3735 | |
(262) 884-4088 | |
(262) 884-4078 |
Full Name | Tanvi Adusumilli |
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Gender | Female |
Speciality | Family 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 |
---|---|---|---|
1861888307 | NPI | - | NPPES |
100222486 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD-23222 (Hawaii) | Secondary |
207Q00000X | Family Medicine | 81354 (Wisconsin) | Primary |
207Q00000X | Family Medicine | 2950671 (New York) | Secondary |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
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Tanvi Adusumilli, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Tanvi Adusumilli, MD 8400 Washington Ave, Mount Pleasant, WI 53406-3735 Ph: (262) 884-4088 |
Ms. Priya Ramdass, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-321-3000 Fax: 262-321-3011 | |
Amy P Kelly, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-321-3000 | |
Dr. Angelo B Reyes, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5801 Washington Ave, Ste 99, Mount Pleasant, WI 53406 Phone: 913-359-6001 Fax: 913-359-5552 | |
Michael Pothen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Victoria C Quinn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Christopher Vincent Cataldi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Dr. Mathew Pothen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 |