| Sudhakar Basetty, MD | |
|
410 Dewey St, Wisconsin Rapids, WI 54494-4715 | |
| (718) 920-9892 | |
| Not Available |
| Full Name | Sudhakar Basetty |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 410 Dewey St, Wisconsin Rapids, 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 |
|---|---|---|---|
| 1518574243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 83167-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Wisconsin Rapids Hospital | Wisconsin rapids, WI | Hospital |
| Aspirus Wausau Hospital | Wausau, WI | Hospital |
| Aspirus Divine Savior Hospital | Portage, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Divine Savior Healthcare Inc | 5799684007 | 135 |
| Aspirus Riverview Hospital And Clinics Inc | 4587658182 | 166 |
| Entity Name | Divine Savior Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| Entity Name | Aspirus Riverview Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295754844 PECOS PAC ID: 4587658182 Enrollment ID: O20040414000945 |
| Mailing Address | Practice Location Address |
|---|---|
| Sudhakar Basetty, MD 410 Dewey St, Wisconsin Rapids, WI 54494-4715 Ph: Not Available | Sudhakar Basetty, MD 410 Dewey St, Wisconsin Rapids, WI 54494-4715 Ph: (718) 920-9892 |
Shee-chang Tang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 |
Robert J Roenius, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 |
Timothy K Huebner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 |
Fred A Perryman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 |
Thomas E Ferk, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Dewey St, Wisconsin Rapids, WI 54494 Phone: 715-422-7750 Fax: 715-422-7752 |
Bradley S Boettcher, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 |
Thomas A Voelker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 |