Ganesh N Pulla, MD in Kenosha, WI

Ganesh N Pulla, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Kenosha, Wisconsin. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Surya Medical Group Sc, Surya Medical Group Sc and his current practice location is 6125 Green Bay Rd, 100, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 564-8636.

Ganesh N Pulla is licensed to practice in Wisconsin (license number 40695) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679620918.

Contact Information

	Ganesh N Pulla, MD
	6125 Green Bay Rd, 100, Kenosha, WI 53142-2928
	(262) 564-8636
	(262) 564-8637

Map and Direction

Physician's Profile

Full Name	Ganesh N Pulla
Gender	Male
Speciality	Nephrology
Experience	42 Years
Location	6125 Green Bay Rd, Kenosha, 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.

Medical Education and Training:

Ganesh N Pulla graduated from medical school in 1982

NPI Data:

NPI Number: 1679620918
Provider Enumeration Date: 01/05/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0345218384
Enrollment ID: I20040920000113

Medical Identifiers

Medical identifiers for Ganesh N Pulla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679620918	NPI	-	NPPES
21279800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	40695 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
United Hospital System	Kenosha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Surya Medical Group Sc	5991773939	2
Surya Medical Group Sc	5991773939	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ganesh N Pulla allows following entities to bill medicare on his behalf.

Entity Name	Surya Medical Group Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043415631 PECOS PAC ID: 5991773939 Enrollment ID: O20040917001040

Entity Name	Independent Physicians Of Wisconsin Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871975920 PECOS PAC ID: 3274842034 Enrollment ID: O20151016001548

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ganesh N Pulla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ganesh N Pulla, MD 6125 Green Bay Rd, 100, Kenosha, WI 53142-2928 Ph: (262) 564-8636	Ganesh N Pulla, MD 6125 Green Bay Rd, 100, Kenosha, WI 53142-2928 Ph: (262) 564-8636

Reviews and Comments

Internal Medicine Doctors in Kenosha, WI

Hanna Mariani, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Ste 3070, Kenosha, WI 53143 Phone: 262-656-3710 Fax: 262-656-3715
Leilane U Sta Romana, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd, #200, Kenosha, WI 53142 Phone: 262-658-3706 Fax: 262-658-1751
Raymond W Knight, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Ste 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412
Dr. Rodrigo Buencamino Mata Iii, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-2710
Michael H Zeihen, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412
Zebi Fatima, MD Nephrology Medicare: Medicare Enrolled Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-942-5600
Timothy A. Sanborn, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-653-3650 Fax: 262-656-3672

Ganesh N Pulla, MD - Medicare Nephrology in Kenosha, WI