| Kamini S Gupta, FNP-BC | |
|
2700 W Honadel Blvd, Oak Creek, WI 53154-2650 | |
| (630) 571-8990 | |
| Not Available |
| Full Name | Kamini S Gupta |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 2700 W Honadel Blvd, Oak Creek, 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 |
|---|---|---|---|
| 1184260721 | NPI | - | NPPES |
| 100099261 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9732 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 9732 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Entity Name | Cleanslate Medical Group Of Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518404854 PECOS PAC ID: 4284905134 Enrollment ID: O20170810002045 |
| Entity Name | Integrity Senior Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710486121 PECOS PAC ID: 4587928130 Enrollment ID: O20180507001002 |
| Mailing Address | Practice Location Address |
|---|---|
| Kamini S Gupta, FNP-BC Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Kamini S Gupta, FNP-BC 2700 W Honadel Blvd, Oak Creek, WI 53154-2650 Ph: (630) 571-8990 |
Katie Leiteritz, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8020 S Howell Ave, Oak Creek, WI 53154 Phone: 414-647-3920 | |
Lauren Henry, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 335 E Mahn Ct, Oak Creek, WI 53154 Phone: 414-762-2020 | |
Mrs. Elena Alexandra Giese, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7001 S Howell Ave Ste 900, Oak Creek, WI 53154 Phone: 262-898-4400 Fax: 414-435-3406 | |
Ms. Tamara Perryman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 W Riverside Dr, Oak Creek, WI 53154 Phone: 414-426-0467 | |
Ayia Abdeljabbar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7435 S Howell Ave Ste 217, Oak Creek, WI 53154 Phone: 414-916-6100 | |
Miss Jessica Lee Noll, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000 Fax: 414-346-8280 |