| Dr Codie Jordan Vassar, MD | |
|
4006 Washington Rd, Kenosha, WI 53144-4819 | |
| (262) 656-0044 | |
| (262) 885-6340 |
| Full Name | Dr Codie Jordan Vassar |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 4 Years |
| Location | 4006 Washington Rd, Kenosha, 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 |
|---|---|---|---|
| 1538690995 | NPI | - | NPPES |
| 100005776 | Medicaid | WI |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Michaels Hospital | Stevens point, WI | Hospital |
| Aspirus Riverview Hospital & Clinics Inc | Wisconsin rapids, WI | Hospital |
| Ascension St Marys Hospital | Rhinelander, WI | Hospital |
| Holy Spirit Hospital | Camp hill, PA | Hospital |
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Stevens Point Hospital And Clinics, Inc. | 1850358938 | 136 |
| Mava Healthcare Systems Pllc | 8921457292 | 4 |
| St Lukes Warren Physician Group Pc | 9739093675 | 382 |
| Mava Healthcare System Llc | 9436586153 | 13 |
| St Lukes Physician Group Inc | 6709798333 | 2160 |
| Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc. | 9335059856 | 545 |
| Osf Multi-specialty Group | 3678889789 | 2110 |
| West Virginia University Medical Corporation | 1052224565 | 1997 |
| 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 | Aspirus Stevens Point Hospital & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20230522000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Codie Jordan Vassar, MD 4006 Washington Rd, Kenosha, WI 53144-4819 Ph: (262) 656-4400 | Dr Codie Jordan Vassar, MD 4006 Washington Rd, Kenosha, WI 53144-4819 Ph: (262) 656-0044 |
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: May Accept Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 | |
Anna Klyachkina, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12225 71st St, Kenosha, WI 53142 Phone: 262-948-4870 | |
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 |