Virendra K Misra, MD | |
2603 W Rawson Ave, Suite 128, Oak Creek, WI 53154-8422 | |
(414) 431-6760 | |
(414) 431-6761 |
Full Name | Virendra K Misra |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 42 Years |
Location | 2603 W Rawson Ave, Oak Creek, 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 |
---|---|---|---|
1780648048 | NPI | - | NPPES |
000001093 | Other | WI | MEDICARE PTAN |
32336900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 38580 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Interpedia Sc | 5698856375 | 4 |
Entity Name | Center For Neurological Disorders Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649223041 PECOS PAC ID: 7214836188 Enrollment ID: O20040109000487 |
Entity Name | Interpedia Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568432979 PECOS PAC ID: 5698856375 Enrollment ID: O20080118000721 |
Entity Name | Wisconsin Neurology Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639101405 PECOS PAC ID: 2264574052 Enrollment ID: O20100115000731 |
Mailing Address | Practice Location Address |
---|---|
Virendra K Misra, MD Po Box 639, Thiensville, WI 53092-0639 Ph: (414) 247-9005 | Virendra K Misra, MD 2603 W Rawson Ave, Suite 128, Oak Creek, WI 53154-8422 Ph: (414) 431-6760 |
Dr. Richard V Colan, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8825 S Howell Ave, Suite 101, Oak Creek, WI 53154 Phone: 414-762-3418 Fax: 414-762-3439 | |
Emily Ruth Jaeger, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 E Ryan Rd, Oak Creek, WI 53154 Phone: 414-570-3590 Fax: 414-570-3599 |