| Venkata Udayagiri, | |
|
333 N Green Bay Rd, Neenah, WI 54956 | |
| (920) 729-6088 | |
| (920) 729-6484 |
| Full Name | Venkata Udayagiri |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 333 N Green Bay Rd, Neenah, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992250336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301109854 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 71496 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thedacare Incorporated | 1759294887 | 533 |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Venkata Udayagiri, 122 E College Ave, Appleton, WI 54911-5794 Ph: (920) 996-3264 | Venkata Udayagiri, 333 N Green Bay Rd, Neenah, WI 54956 Ph: (920) 729-6088 |
Krystina Marie Pischke, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 S Commercial St, Neenah, WI 54956 Phone: 920-729-6088 Fax: 920-729-6484 | |
Stephen T Cruz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Main St, Neenah, WI 54956 Phone: 920-727-5810 | |
Andrew Michael Dunn, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 N Green Bay Rd, Neenah, WI 54956 Phone: 920-729-6088 | |
Dr. Atul Dogra, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-364-3600 Fax: 920-364-3900 | |
Teresa L Rudolph, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1504 S Commercial St, Neenah, WI 54956 Phone: 920-729-6088 Fax: 920-729-6484 | |
Erik A Emaus, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 411 Lincoln St, Neenah, WI 54956 Phone: 920-720-1781 Fax: 920-720-1790 | |
Tomasz K Miaskowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Main St, Neenah, WI 54956 Phone: 920-727-5810 |