| Vijay K Kantamneni, MD | |
|
700 S Park St, Dean & St. Mary's Outpatient Center, Madison, WI 53715-1830 | |
| (608) 260-2900 | |
| Not Available |
| Full Name | Vijay K Kantamneni |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 40 Years |
| Location | 700 S Park St, Madison, 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 |
|---|---|---|---|
| 1316997406 | NPI | - | NPPES |
| 770000422 | Other | WI | RAILROAD MEDICARE |
| 31497100 | Medicaid | WI | |
| 3564 | Other | WI | DEAN HEALTH INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 28003-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health System Corp | Janesville, WI | Hospital |
| Mercy Walworth Hospital & Medical Center | Lake geneva, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health System Corporation | 7416860440 | 564 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| 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 | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijay K Kantamneni, MD 700 S Park St, Dean & St. Mary's Outpatient Center, Madison, WI 53715-1830 Ph: (608) 260-2900 | Vijay K Kantamneni, MD 700 S Park St, Dean & St. Mary's Outpatient Center, Madison, WI 53715-1830 Ph: (608) 260-2900 |
John M Stulak, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8949 | |
Dr. George R. Reiss Iii, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 700 S. Park St, Madison, WI 53715 Phone: 608-260-2900 Fax: 608-260-2956 | |
Dr. Deemy Rekkas, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-1530 Fax: 608-265-8887 | |
Dr. Romulo Andre Salud Fajardo, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Andreas Robert De Biasi, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-1530 | |
Haywood S Gilliam, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 202 So Park St, Meriter Hospital, Madison, WI 53715 Phone: 608-417-6387 Fax: 608-417-6198 |