Vijay Bandhakavi, MD | |
1836 South Ave, La Crosse, WI 54601 | |
(608) 782-7300 | |
Not Available |
Full Name | Vijay Bandhakavi |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 25 Years |
Location | 1836 South Ave, La Crosse, 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 |
---|---|---|---|
1184887473 | NPI | - | NPPES |
1184887473 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 52157 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
South Georgia Medical Center | Valdosta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sgmc Physician Network Inc | 4082036843 | 112 |
Entity Name | Sgmc Physician Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417597170 PECOS PAC ID: 4082036843 Enrollment ID: O20201015000629 |
Mailing Address | Practice Location Address |
---|---|
Vijay Bandhakavi, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Vijay Bandhakavi, MD 1836 South Ave, La Crosse, WI 54601 Ph: (608) 782-7300 |
Mary K Frohnauer, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-775-2021 | |
Derek A Hupp, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Allen C. Foster, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Padmavathi Mali, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Emily Catherine Dolan, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Adie D Harbin Iii, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Gregory M Knorr, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |