| Dr Subbanna Jayaprakash, MD | |
|
3811 Spring St, Suite 301, Racine, WI 53405-1667 | |
| (262) 687-6262 | |
| (262) 687-6261 |
| Full Name | Dr Subbanna Jayaprakash |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 50 Years |
| Location | 3811 Spring St, Racine, 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 |
|---|---|---|---|
| 1568450211 | NPI | - | NPPES |
| 314772200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | O27676 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension At Home | Milwaukee, WI | Home health agency |
| Ascension All Saints Hospital | Racine, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group-southeast Wisconsin Inc | 8628980943 | 505 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Subbanna Jayaprakash, MD 7401 Latigo Cir, Franksville, WI 53126-9468 Ph: (262) 886-6252 | Dr Subbanna Jayaprakash, MD 3811 Spring St, Suite 301, Racine, WI 53405-1667 Ph: (262) 687-6262 |
Mary Therese Billerbeck, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 414 William St, Racine, WI 53402 Phone: 262-497-9147 | |
Mr. Andrew Mach, P.T.A. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1455 Hickory Way, Racine, WI 53405 Phone: 262-880-9561 |