Adam Pfaller, MD - Medicare Family Medicine in Milwaukee, WI

  1. Home
  2. Family Medicine
  3. WI
  4. Milwaukee
Adam Pfaller, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Milwaukee, Wisconsin. His current practice location is 9000 W Sura Ln, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 246-6800.

Adam Pfaller is licensed to practice in Wisconsin (license number 77082) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922667575.

Contact Information

Adam Pfaller, MD
9000 W Sura Ln,
Milwaukee, WI 53228-3477
(414) 246-6800
Not Available

Map and Direction




Physician's Profile

Full NameAdam Pfaller
GenderMale
SpecialityFamily Medicine - Sports Medicine
Location9000 W Sura Ln, Milwaukee, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922667575
  • Provider Enumeration Date: 06/07/2019
  • Last Update Date: 10/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8224366174
  • Enrollment ID: I20230920000742

Medical Identifiers

Medical identifiers for Adam Pfaller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922667575NPI-NPPES
100206014MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 77082 (Wisconsin)Secondary
207QS0010XFamily Medicine - Sports Medicine 77082 (Wisconsin)Primary

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. Adam Pfaller allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameLakeshore Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481

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. Adam Pfaller 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
Adam Pfaller, MD
Po Box 735044,
Chicago, IL 60673-5044

Ph: (414) 246-6800		Adam Pfaller, MD
9000 W Sura Ln,
Milwaukee, WI 53228-3477

Ph: (414) 246-6800

Reviews and Comments


Family Medicine Doctors in Milwaukee, WI

Dr. Mary Grace Hernandez Lasquety, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2311 N Prospect Ave, Milwaukee, WI 53211
Phone: 414-319-3000    Fax: 414-319-3033
Dr. Rodrigo Itable, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2745 W Layton Ave, Suite 201, Milwaukee, WI 53221
Phone: 414-281-0050    Fax: 414-281-0733
Steven Bondow, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226
Phone: 414-955-5990    Fax: 414-955-6282
Dr. Sabina Diehr, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1155 N Mayfair Rd, Plank Road Clinic, Milwaukee, WI 53226
Phone: 414-955-5990    Fax: 414-955-6282
Luz Stella Moreno, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 637 W Mitchell St, Milwaukee, WI 53204
Phone: 414-383-8989    
Quentin Mattern, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2320 N Lake Dr, Room 3603, Milwaukee, WI 53211
Phone: 414-270-4932    
Jennifer Marie Markowski, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3003 W Good Hope Rd, Milwaukee, WI 53209
Phone: 414-352-3100    

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.