| Dr Kumar R Sannagowdara, M D | |
|
9000 W Sura Ln, Greenfield, WI 53228-3477 | |
| (414) 246-6800 | |
| (414) 246-6405 |
| Full Name | Dr Kumar R Sannagowdara |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 31 Years |
| Location | 9000 W Sura Ln, 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 |
|---|---|---|---|
| 1063779601 | NPI | - | NPPES |
| 1063779601 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 57263 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| 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 | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Entity Name | Childrens Specialty Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942970405 PECOS PAC ID: 2567813447 Enrollment ID: O20240104002075 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kumar R Sannagowdara, M D 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 246-6800 | Dr Kumar R Sannagowdara, M D 9000 W Sura Ln, Greenfield, WI 53228-3477 Ph: (414) 246-6800 |
Dr. Maxine J Minto, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3365 S 103 Rd St, Suite 210, Greenfield, WI 53227 Phone: 414-266-3339 Fax: 414-266-3735 | |
Dr. Gregory Andrew Burek, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4455 S 108th St, Greenfield, WI 53228 Phone: 414-427-5310 Fax: 414-427-5311 | |
Dr. Scott Wiener, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 8777 W Forest Home Ave, Greenfield, WI 53228 Phone: 206-785-1015 Fax: 206-785-1023 |