Venkata K Thota, MD | |
4448 W. Loomis Rd., Ste 100, Greenfield, WI 53220-4851 | |
(414) 281-5150 | |
(414) 281-5767 |
Full Name | Venkata K Thota |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 39 Years |
Location | 4448 W. Loomis Rd., Greenfield, 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 |
---|---|---|---|
1134183783 | NPI | - | NPPES |
31484200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 28604 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora At Home | Milwaukee, WI | Home health agency |
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
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 |
Mailing Address | Practice Location Address |
---|---|
Venkata K Thota, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Venkata K Thota, MD 4448 W. Loomis Rd., Ste 100, Greenfield, WI 53220-4851 Ph: (414) 281-5150 |
Abdulrehman Siddiqui, MB BCH BAO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Dr. Kostandinos Tsoulfas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4131 W Loomis Rd, #300, Greenfield, WI 53221 Phone: 414-325-7246 Fax: 414-325-3770 | |
Rita E Schulz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4448 W. Loomis Rd., Ste 100, Greenfield, WI 53220 Phone: 414-281-5150 Fax: 414-281-5767 | |
Kathryn M Kiyono, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Ste 100, Greenfield, WI 53220 Phone: 414-281-5150 Fax: 414-281-5767 | |
Yuriy Zamota, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Dr. Garima Chawla, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 |