| Dr Chandralekha Bommakanti, MD | |
|
500 S Oakwood Rd, Oshkosh, WI 54904-7944 | |
| (920) 223-3400 | |
| (920) 223-3404 |
| Full Name | Dr Chandralekha Bommakanti |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 500 S Oakwood Rd, Oshkosh, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215033527 | NPI | - | NPPES |
| 31765700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 31641 (Wisconsin) | Primary |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chandralekha Bommakanti, MD 500 S Oakwood Rd, Oshkosh, WI 54904-7944 Ph: (920) 223-3400 | Dr Chandralekha Bommakanti, MD 500 S Oakwood Rd, Oshkosh, WI 54904-7944 Ph: (920) 223-3400 |
Kenneth Charles Casimir, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 220 Washington Ave, Oshkosh, WI 54901 Phone: 920-236-4700 Fax: 920-236-1157 | |
Dr. Alex Patrick Kelsey, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 700 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-456-2030 Fax: 920-456-2025 | |
Dr. Wilson Haw Luy Tan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Dr. Ahmad Y Haffar, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3475 Omro Rd, Suite 200, Oshkosh, WI 54904 Phone: 920-236-0991 Fax: 920-236-0993 | |
Jean Kay Oelschlager, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
John Carlos Brockington, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 |