| Dr Kostandinos Tsoulfas, MD | |
|
4131 W Loomis Rd, #300, Greenfield, WI 53221-2051 | |
| (414) 325-7246 | |
| (414) 325-3770 |
| Full Name | Dr Kostandinos Tsoulfas |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 24 Years |
| Location | 4131 W Loomis Rd, Greenfield, 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 |
|---|---|---|---|
| 1013088277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 49097 (Wisconsin) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 49097-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Hospital System | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Physical Therapy And Sports Rehab, Llc | 8022016336 | 178 |
| Pain Physicians Of Wisconsin Sc | 9537596341 | 21 |
| Entity Name | Advanced Pain Management Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770506669 PECOS PAC ID: 1456257633 Enrollment ID: O20031209000560 |
| Entity Name | Pain Physicians Of Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679119689 PECOS PAC ID: 9537596341 Enrollment ID: O20200217000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kostandinos Tsoulfas, MD 4131 W Loomis Rd, #300, Greenfield, WI 53221-2051 Ph: (414) 325-7246 | Dr Kostandinos Tsoulfas, MD 4131 W Loomis Rd, #300, Greenfield, WI 53221-2051 Ph: (414) 325-7246 |
Mrs. Nileshkumar Patel, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 4131 W Loomis Rd, Ste 300, Greenfield, WI 53221 Phone: 414-325-7246 Fax: 414-325-3770 | |
Maher Fattouh, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4131 W Loomis Rd, Ste 300 Advanced Pain Management, Greenfield, WI 53221 Phone: 414-325-7246 Fax: 414-325-3700 |