| Anna Klyachkina, MD | |
|
12225 71st St, Kenosha, WI 53142-7320 | |
| (262) 948-4870 | |
| Not Available |
| Full Name | Anna Klyachkina |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 42 Years |
| Location | 12225 71st St, Kenosha, 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 |
|---|---|---|---|
| 1518928118 | NPI | - | NPPES |
| 34999600 | Medicaid | WI | |
| 036107503 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 51332 (Wisconsin) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036107503 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Klyachkina, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Anna Klyachkina, MD 12225 71st St, Kenosha, WI 53142-7320 Ph: (262) 948-4870 |
Dr. Pushparanee Babusukumar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3535 30th Ave, Suite 201, Kenosha, WI 53144 Phone: 262-652-7813 Fax: 262-652-4450 | |
Dr. Mathew Sean Mccarthy, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-657-1090 | |
Dr. Saritha Kundoor, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Dr. Vanessa Q Chang, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, #307, Kenosha, WI 53142 Phone: 262-948-6770 | |
Ronald Rubin, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3734 7th Ave Ste 12, Kenosha, WI 53140 Phone: 262-654-9370 Fax: 262-654-9379 | |
Dr. Mary L. Campagna-gibson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 |