| Pragya Virendrakumar Jain, | |
| W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | |
| (262) 251-1000 | |
| (262) 251-1000 | 
| Full Name | Pragya Virendrakumar Jain | 
|---|---|
| Gender | Female | 
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology | 
| Location | W180n8085 Town Hall Rd, Menomonee Falls, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174150494 | NPI | - | NPPES | 
| 1174150494 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 76837 (Wisconsin) | Primary | 
| Entity Name | The Medical College Of Wisconsin Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pragya Virendrakumar Jain, W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 Ph: (262) 251-1000 | Pragya Virendrakumar Jain, W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 Ph: (262) 251-1000 | 
| Dr. Mary C Fernandez, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Hospital Based @ Community Memorial, W180 N8085 Town Hall Road, Menomonee Falls, WI 53051 Phone: 414-805-3666 | |
| Dr. Gerardo P Fronda, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: W180n8085 Town Hall Rd, Dept Of Pathology, Menomonee Falls, WI 53051 Phone: 262-257-3254 Fax: 262-257-5545 | |
| Dr. Juan Miguel Limjoco, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: W180n8085 Town Hall Rd Dept Of, Menomonee Falls, WI 53051 Phone: 262-251-1000 |