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ADAM MEHMET GULHAN MD
NPI 1841294345
Psychiatry & Neurology - Neurology in Marinette, WI

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment
3130 SHORE DR STE 111, BAY AREA NEUROLOGY CONSULTATNTS, MARINETTE, WI 54143(715) 732-8212 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2023, Sep 7, 2023 (2 updates tracked since 2023).

About Adam Mehmet Gulhan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM MEHMET GULHAN MD (NPI 1841294345) is an individual neurology provider in Marinette, Wisconsin, licensed in Pennsylvania (MD424982) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Mosaic Life Care At St Joseph, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841294345
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameADAM MEHMET GULHANCredential: MD
Location Address3130 SHORE DR STE 111, BAY AREA NEUROLOGY CONSULTATNTSMarinette, WI 54143-4291
Mailing Address11435 Wellshire Commons Cir Apt 1808Charlotte, NC 28277-4097 · (757) 338-4100
Phone(715) 732-8212
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJune 13, 2005
Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1841294345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in PA · MD424982✔ Licensed in MO · 2021017018✔ Licensed in WI · 450✔ Licensed in IN · 01075613A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 0101233579 (VA)
3130 SHORE DR STE 111, Marinette, WI 54143
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Other Names 1

Former Name (1)Mehmet Gulhan M.d.

Secondary Practice Locations 2

Location 1105 Far West Dr Ste 201Saint Joseph, MO 64506-3514 · Phone (816) 271-8182 · Fax (816) 271-0818
Location 22845 Greenbrier RdGreen Bay, WI 54311-6519 · Phone (820) 288-8000

Other Identifiers 2

Medicaid100042591WI
Medicaid101092242PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adam Mehmet Gulhan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204803620
PECOS Enrollment IDI20150309002042, I20231013000397
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
220 services101 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services79 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
87 services86 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services58 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
36 services35 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260006
Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Bay Area Medical Center

Acute Care Hospitals · Marinette, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520113
Location3003 University DrMarinette, WI 54143 · Marinette County
Emergency services Birthing friendly

Aurora Baycare Medical Ctr

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number520193
Location2845 Greenbrier RdGreen Bay, WI 54311 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
1 supplier11 claims22 services$19.03 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers13 claims26 services$2.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Gulhan's NPI number?

The NPI number for Adam Gulhan is 1841294345. It was assigned to this individual provider in the NPPES registry on June 13, 2005. The provider is also known as Mehmet Gulhan M.D..

Where is Adam Gulhan located?

Adam Gulhan practices at 3130 Shore Dr Ste 111 Bay Area Neurology Consultatnts, Marinette, WI 54143. The listed phone number is (715) 732-8212.

What is Adam Gulhan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Adam Gulhan enrolled in Medicare?

Yes. Adam Gulhan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Adam Gulhan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Adam Gulhan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adam Gulhan affiliated with any hospitals?

According to CMS data, Adam Gulhan is affiliated with Mosaic Life Care At St Joseph, Aspirus Wausau Hospital, Mercy Health System Corp, Bay Area Medical Center and Aurora Baycare Medical Ctr.

When was this NPI record last updated?

The NPPES record for Adam Gulhan was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.