| Madhulika Lall, MD | |
|
430 E Division St, Fond Du Lac, WI 54935-4560 | |
| (920) 926-8332 | |
| (920) 926-8370 |
| Full Name | Madhulika Lall |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| 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 |
|---|---|---|---|
| 1821009838 | NPI | - | NPPES |
| 146132 | Other | ANTHEM/BCBS | |
| 310269 | Other | SOUTHERN HEALTH | |
| 3810000340 | Other | WV | WV MEDICAID |
| 1821009838 | Medicaid | VA | |
| 9309526 | Other | CIGNA | |
| 1000870001 | Other | VA | DME PROVIDER |
| 010086272 | Medicaid | VA | |
| P00193964 | Other | RAILROAD MEDICARE | |
| 79389 | Other | VA | OPTIMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 0101235949 (Virginia) | Secondary |
| 208M00000X | Hospitalist | 60163 (Wisconsin) | Secondary |
| 207R00000X | Internal Medicine | D0087838 (Maryland) | Primary |
| Entity Name | Hospitalist Medicine Physicians Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770756991 PECOS PAC ID: 5698842235 Enrollment ID: O20081118000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Madhulika Lall, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Madhulika Lall, MD 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8332 |
Balvindar S Sareen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 315-637-7800 Fax: 315-637-7808 | |
Jay R Muller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420 Fax: 920-926-8913 | |
Dana I Vasquez, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420 | |
Adam P Karewicz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420 | |
Punit Kumar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac Regional Clinic, Fond Du Lac, WI 54935 Phone: 920-926-8420 | |
Dr. Steven Gregory Meress, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 Knights Way, Fond Du Lac, WI 54935 Phone: 920-922-5433 Fax: 920-273-0480 | |
Dr. Crystal J Kleiber Balderrama, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8340 Fax: 414-805-6851 |