Achal Gupta, MD - Medicare Family Practice in Stanley, WI

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Achal Gupta, MD is a medicare enrolled "Family Medicine" physician in Stanley, Wisconsin. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis and his current practice location is 1120 Pine St, Stanley, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 644-5530.

Achal Gupta is licensed to practice in Wisconsin (license number 54799-20) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871729210.

Contact Information

Achal Gupta, MD
1120 Pine St,
Stanley, WI 54768-1297
(715) 644-5530
Not Available

Map and Direction




Physician's Profile

Full NameAchal Gupta
GenderMale
SpecialityFamily Practice
Experience19 Years
Location1120 Pine St, Stanley, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Achal Gupta graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1871729210
  • Provider Enumeration Date: 05/29/2009
  • Last Update Date: 08/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9032344841
  • Enrollment ID: I20131104000725

Medical Identifiers

Medical identifiers for Achal Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871729210NPI-NPPES
54799OtherWIWI MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 54799-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Interim Healthcare Of Ne WiGreen bay, WIHome health agency
St Vincent HospitalGreen bay, WIHospital
St Mary's Hospital Medical CenterGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent Hospital-hospital Sisters-third Order Of St Francis5799694675546

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Achal Gupta allows following entities to bill medicare on his behalf.
Entity NamePrevea Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306869276
PECOS PAC ID: 0042123150
Enrollment ID: O20031106000034
Entity NameAspirus Stanley Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356311252
PECOS PAC ID: 8325957095
Enrollment ID: O20040102000347
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
Entity NameSt Clare Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851477913
PECOS PAC ID: 0446211395
Enrollment ID: O20041023000037
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423
Entity NameAspirus Stanley Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053391730
PECOS PAC ID: 8325957095
Enrollment ID: O20140321001620

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Achal Gupta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Achal Gupta, MD
3021 Voyager Dr,
Green Bay, WI 54311-8303

Ph: (715) 644-5530		Achal Gupta, MD
1120 Pine St,
Stanley, WI 54768-1297

Ph: (715) 644-5530

Reviews and Comments


Family Medicine Doctors in Stanley, WI

Dr. Myrna Casing, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 36887 156th Ave, Stanley, WI 54768
Phone: 715-644-5128    
William P Hopkins, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1120 Pine St, Stanley, WI 54768
Phone: 715-644-5530    Fax: 715-644-6223
Katherine Jackson-schneider, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1120 Pine St, Stanley, WI 54768
Phone: 715-644-5530    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.