| Bharathi Pulla, MD | |
|
6125 Green Bay Rd, Kenosha, WI 53142-2928 | |
| (262) 564-8636 | |
| (262) 564-8637 |
| Full Name | Bharathi Pulla |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 6125 Green Bay Rd, Kenosha, Wisconsin |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962559302 | NPI | - | NPPES |
| 34105600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 41182 (Wisconsin) | Secondary |
| 207QA0000X | Family Medicine - Adolescent Medicine | 41182 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred Hospice | West allis, WI | Hospice |
| United Hospital System | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kenosha Community Health Center, Inc. | 0941195168 | 15 |
| Entity Name | Kenosha Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265435960 PECOS PAC ID: 0941195168 Enrollment ID: O20040217000840 |
| Entity Name | Surya Medical Group Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043415631 PECOS PAC ID: 5991773939 Enrollment ID: O20040917001040 |
| Mailing Address | Practice Location Address |
|---|---|
| Bharathi Pulla, MD 6125 Green Bay Rd, Kenosha, WI 53142-2928 Ph: (262) 564-8636 | Bharathi Pulla, MD 6125 Green Bay Rd, Kenosha, WI 53142-2928 Ph: (262) 564-8636 |
Ali J Kilic, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 35th St, Kenosha, WI 53140 Phone: 262-652-3500 Fax: 262-997-0113 | |
Dragos G Nanul, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Dr. Myriam Jacynthe Donovitch, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 | |
Dr. Paul V Capelli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7010 Fax: 262-948-7328 | |
Rodrigo A Mata Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-6995 Fax: 262-652-1370 | |
Dr. Charles Santilukka, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1020 35th St, Suite 160, Kenosha, WI 53140 Phone: 262-652-3500 | |
Priti J Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Aurora Health Care, Kenosha, WI 53142 Phone: 262-948-7000 |