| Hitesh N Pandya, MD | |
|
430 E Division St, Fond Du Lac, WI 54935-4560 | |
| (920) 926-4200 | |
| (920) 926-8885 |
| Full Name | Hitesh N Pandya |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 430 E Division St, Fond Du Lac, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407865272 | NPI | - | NPPES |
| 34223900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 44346 (Wisconsin) | Primary |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Hitesh N Pandya, MD 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-4472 | Hitesh N Pandya, MD 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-4200 |
Michael J Keyes, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8885 | |
Dr. Steven A Sandstrom, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000 Fax: 920-907-7110 | |
Jagadeeswara Rao Musunuru, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3502 | |
Shelley D Piasecki, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 751 County Road K, Fond Du Lac, WI 54937 Phone: 920-929-6716 | |
Dr. Jennifer I Giesige, D.O Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Cheryl R Tapp, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8885 | |
Brian C Christenson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8885 |