| Dr Kavita Sharma, MD | |
|
1155 N Honey Creek Pkwy, Wauwatosa, WI 53213 | |
| (414) 615-5900 | |
| (414) 615-5927 |
| Full Name | Dr Kavita Sharma |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Hospice And Palliative Medicine |
| Location | 1155 N Honey Creek Pkwy, Wauwatosa, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033210968 | NPI | - | NPPES |
| 497174-01 | Medicaid | HI | |
| 100016346 | Medicaid | WI | |
| 0000228726 | Other | HI | HMSA BILLING NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 56017 (Wisconsin) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 56017 (Wisconsin) | Primary |
| 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 |
|---|---|
| Dr Kavita Sharma, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Kavita Sharma, MD 1155 N Honey Creek Pkwy, Wauwatosa, WI 53213 Ph: (414) 615-5900 |
Geetha Ganesan, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Haroon Zubair, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
David A. Carron, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226 Phone: 414-454-0600 Fax: 414-454-0971 | |
Robert Michael Molloy, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226 Phone: 414-454-0600 Fax: 414-454-0971 | |
Ankur N Patel, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Dr. James T Kwiatt, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1033 N Mayfair Rd, Suite 101, Wauwatosa, WI 53226 Phone: 414-454-0500 Fax: 414-454-0971 |