| Dr Mary L Campagna-gibson, MD | |
|
6308 8th Ave, Suite 2000, Kenosha, WI 53143-5031 | |
| (262) 653-5300 | |
| (262) 653-5412 |
| Full Name | Dr Mary L Campagna-gibson |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 21 Years |
| Location | 6308 8th Ave, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629258132 | NPI | - | NPPES |
| N0161G | Medicaid | SC | |
| 1629258132 | Medicaid | WI | |
| 5911767 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 2008-01613 (North Carolina) | 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 |
| Froedtert South Inc | 9537071196 | 132 |
| Entity Name | Froedtert South Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary L Campagna-gibson, MD 6308 8th Ave, Suite 2000, Kenosha, WI 53143-5031 Ph: (262) 653-5300 | Dr Mary L Campagna-gibson, MD 6308 8th Ave, Suite 2000, Kenosha, WI 53143-5031 Ph: (262) 653-5300 |
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: Accepting 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 |