| Mysore S Shivaram, MD | |
|
7400 W Rawson Ave, #225, Franklin, WI 53132-8278 | |
| (414) 425-8232 | |
| (414) 425-8267 |
| Full Name | Mysore S Shivaram |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 53 Years |
| Location | 7400 W Rawson Ave, Franklin, 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 |
|---|---|---|---|
| 1750318903 | NPI | - | NPPES |
| 30256600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 22232 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopedic Surgeons Of Wisconsin Sc | 5294727152 | 57 |
| Columbia St Marys Hospital Milwaukee Inc | 5890604722 | 299 |
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
| Entity Name | Orthopedic Surgeons Of Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295769321 PECOS PAC ID: 5294727152 Enrollment ID: O20040331001176 |
| Entity Name | Mysore Shivaram Md Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639355050 PECOS PAC ID: 2668440462 Enrollment ID: O20040920000862 |
| Mailing Address | Practice Location Address |
|---|---|
| Mysore S Shivaram, MD 7400 W Rawson Ave, Ste 243, Franklin, WI 53132-8280 Ph: (414) 425-8232 | Mysore S Shivaram, MD 7400 W Rawson Ave, #225, Franklin, WI 53132-8278 Ph: (414) 425-8232 |
William T Pennington, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3111 W Rawson Ave, #200, Franklin, WI 53132 Phone: 414-325-4320 Fax: 414-761-1921 | |
Steven R Trinkl, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3111 W Rawson Ave, #200, Franklin, WI 53132 Phone: 414-325-4320 Fax: 414-761-1921 | |
Daniel W Guehlstorf, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3111 W Rawson Ave, #200, Franklin, WI 53132 Phone: 414-325-4320 Fax: 414-761-1921 | |
Todd T. Barnhardt, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9120 W Loomis Rd, Suite 100, Franklin, WI 53132 Phone: 262-939-9318 Fax: 608-756-8617 | |
Dr. Jonathan Stone, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3111 W Rawson Ave Ste 200205, Franklin, WI 53132 Phone: 414-384-6700 Fax: 414-761-1921 | |
David J Clark, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9120 W Loomis Rd, Suite 100, Franklin, WI 53132 Phone: 262-939-9318 Fax: 608-756-8617 |