Dr Supriya Sharma, MD | |
5000 Memorial Dr, Two Rivers, WI 54241 | |
(920) 794-5000 | |
Not Available |
Full Name | Dr Supriya Sharma |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 37 Years |
Location | 5000 Memorial Dr, Two Rivers, 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 |
---|---|---|---|
1225145410 | NPI | - | NPPES |
34150400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 43947 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
Aurora Medical Center - Summit | Summit, WI | Hospital |
West Allis Memorial Hospital | West allis, WI | Hospital |
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Advanced Healthcare Inc | 3375625833 | 928 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Lakeshore Medical Clinic Llc | 7719890730 | 293 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Dr Supriya Sharma, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr Supriya Sharma, MD 5000 Memorial Dr, Two Rivers, WI 54241 Ph: (920) 794-5000 |
Nicholas G Stephani, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000 |