Vivek Balasubramaniam, MD | |
600 Highland Ave, Madison, WI 53792-0001 | |
(608) 263-6420 | |
(608) 263-0440 |
Full Name | Vivek Balasubramaniam |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Pulmonology |
Location | 600 Highland Ave, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003991746 | NPI | - | NPPES |
01373430 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0214X | Pediatrics - Pediatric Pulmonology | 62982-20 (Wisconsin) | Primary |
Entity Name | University Of Wisconsin Medical Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
Mailing Address | Practice Location Address |
---|---|
Vivek Balasubramaniam, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Vivek Balasubramaniam, MD 600 Highland Ave, Madison, WI 53792-0001 Ph: (608) 263-6420 |
Dr. Emily Ann Forster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Daniel J Jackson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Csc Box 9988, Madison, WI 53792 Phone: 608-239-3515 | |
Dr. Elma O Sia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4410 Regent St, Madison, WI 53705 Phone: 608-233-9746 | |
Patricia V Staats, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1217 Gilbert Rd, Madison, WI 53711 Phone: 608-274-3636 | |
Michael W Ritter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7610 Sawmill Rd, Madison, WI 53717 Phone: 608-831-1528 | |
Dr. Jesse Roach, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6420 | |
Norris Glick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 317 Knutson Drive, Madison, WI 53704 Phone: 608-301-1791 |