Vijayalakshmi L D Vadrevu, MD | |
2801 W Kinnickinnic River Pkwy Ste 140, Milwaukee, WI 53215-3693 | |
(414) 385-8725 | |
(414) 385-8756 |
Full Name | Vijayalakshmi L D Vadrevu |
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Gender | Female |
Speciality | Ophthalmology |
Experience | 41 Years |
Location | 2801 W Kinnickinnic River Pkwy Ste 140, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932292364 | NPI | - | NPPES |
100165427 | Medicaid | WI | |
75796-20 | Other | WI | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | C52114 (California) | Secondary |
207W00000X | Ophthalmology | 75796-20 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Texas Eye Centers Pa | 1456363365 | 4 |
Entity Name | South Texas Eye Centers Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053396747 PECOS PAC ID: 1456363365 Enrollment ID: O20060614000217 |
Mailing Address | Practice Location Address |
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Vijayalakshmi L D Vadrevu, MD 393 E Walnut St, 3rd Floor Phr Systems, Pasadena, CA 91188-0001 Ph: (000) 000-0000 | Vijayalakshmi L D Vadrevu, MD 2801 W Kinnickinnic River Pkwy Ste 140, Milwaukee, WI 53215-3693 Ph: (414) 385-8725 |
Lincoln Shaw, Ophthalmology Medicare: Medicare Enrolled Practice Location: 2600 N Mayfair Rd Ste 901, Milwaukee, WI 53226 Phone: 773-702-3937 | |
Jay A. Met, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd, #350, Milwaukee, WI 53226 Phone: 414-777-0110 | |
Jane Marie Collis-geers, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2906 S 20th St, Milwaukee, WI 53215 Phone: 414-672-1353 Fax: 414-385-7552 | |
Jacquelyn Laplant, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-2020 Fax: 414-955-6300 | |
Shivam Vipul Amin, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-2020 Fax: 414-955-6300 | |
Jourdan Danielle Valkner Krause, OD Ophthalmology Medicare: Medicare Enrolled Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-2020 Fax: 414-955-6300 | |
Carleigh Nicole Bruce, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-7840 |