| Dr Manish J Gharia, MD | |
|
13800 W North Ave Ste 100, Brookfield, WI 53005-4977 | |
| (262) 754-4940 | |
| (262) 754-4940 |
| Full Name | Dr Manish J Gharia |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 29 Years |
| Location | 13800 W North Ave Ste 100, Brookfield, 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 |
|---|---|---|---|
| 1376565267 | NPI | - | NPPES |
| 1376565267 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 39577 (Wisconsin) | Secondary |
| 207N00000X | Dermatology | 39577 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Walworth Hospital & Medical Center | Lake geneva, WI | Hospital |
| Martha's Vineyard Hospital Inc | Oak bluffs, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health System Corporation | 7416860440 | 564 |
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | Affiliated Dermatologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407849011 PECOS PAC ID: 8123065794 Enrollment ID: O20050414000817 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manish J Gharia, MD 765 Safer Ct, Brookfield, WI 53045-6783 Ph: (414) 313-0255 | Dr Manish J Gharia, MD 13800 W North Ave Ste 100, Brookfield, WI 53005-4977 Ph: (262) 754-4940 |
Dr. James L. Troy, MD Dermatology Medicare: Medicare Enrolled Practice Location: 12805 W Burleigh Rd, Suite 200, Brookfield, WI 53005 Phone: 262-797-6434 Fax: 262-797-6429 | |
James Patrick Russell, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Sun Young Ruggeri, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Glenn Eugene Sondag, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Kristina Ann Kleven, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Thomas Joseph Russell, MD Dermatology Medicare: Medicare Enrolled Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 |