| Subash Bastakoti, MD | |
|
2845 Greenbrier Rd, Green Bay, WI 54311-6519 | |
| (920) 288-8000 | |
| Not Available |
| Full Name | Subash Bastakoti |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 12 Years |
| Location | 2845 Greenbrier Rd, Green Bay, 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 |
|---|---|---|---|
| 1770967036 | NPI | - | NPPES |
| 100099224 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301108025 (Michigan) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 72088 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Family Hospital | Methuen, MA | Hospital |
| St Joseph Hospital | Nashua, NH | Hospital |
| New England Baptist Hospital | Boston, MA | Hospital |
| Lawrence General Hospital | Lawrence, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Incare Llc | 1153658851 | 48 |
| Incare Llc | 1153658851 | 48 |
| Entity Name | Incare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639655467 PECOS PAC ID: 1153658851 Enrollment ID: O20220207000476 |
| Mailing Address | Practice Location Address |
|---|---|
| Subash Bastakoti, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2377 | Subash Bastakoti, MD 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-8000 |
Amritha Chandrahasa Karkera, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 | |
Dr. Pamela Rani Sud, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-7451 | |
Yaw D Berko, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Lee James Klemens, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705 | |
Dr. Kevin L Mortara, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659 | |
William T Witmer, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311 Phone: 920-288-8300 Fax: 920-288-8305 | |
Jay Matthew Salmon, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 |