| Malik T Bandealy, MD | |
|
6811 118th Ave, Kenosha, WI 53142-8420 | |
| (262) 857-5750 | |
| Not Available |
| Full Name | Malik T Bandealy |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 37 Years |
| Location | 6811 118th Ave, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568453298 | NPI | - | NPPES |
| 32360000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 38678 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora At Home | Wauwatosa, WI | Hospice |
| Hospice Alliance | Pleasant prairie, WI | Hospice |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
| United Hospital System | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Aurora Health Care Metro, Inc. | 8628986536 | 75 |
| Entity Name | Aurora Health Care Metro, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861447179 PECOS PAC ID: 8628986536 Enrollment ID: O20040114000498 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Malik T Bandealy, MD 6811 118th Ave, Kenosha, WI 53142-8420 Ph: (262) 857-5750 | Malik T Bandealy, MD 6811 118th Ave, Kenosha, WI 53142-8420 Ph: (262) 857-5750 |
Hanna Mariani, M.D. Hematology & Oncology 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 Hematology & Oncology 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 Hematology & Oncology 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. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-2710 | |
Michael H Zeihen, MD Hematology & Oncology 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 Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-942-5600 | |
Timothy A. Sanborn, M.D. Hematology & Oncology Medicare: May Accept Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-653-3650 Fax: 262-656-3672 |