Ashish M Rawal, MD - Medicare Orthopedic Surgery in Stoughton, WI

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Ashish M Rawal, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Stoughton, Wisconsin. He went to University Of Cincinnati College Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Stoughton Hospital Association and his current practice location is 900 Ridge St, Stoughton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 877-3419.

Ashish M Rawal is licensed to practice in Wisconsin (license number 62023-20) 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 1356392252.

Contact Information

Ashish M Rawal, MD
900 Ridge St,
Stoughton, WI 53589-1864
(608) 877-3419
(608) 231-3430

Map and Direction




Physician's Profile

Full NameAshish M Rawal
GenderMale
SpecialityOrthopedic Surgery
Experience24 Years
Location900 Ridge St, Stoughton, 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:
  • Ashish M Rawal attended and graduated from University Of Cincinnati College Of Medicine in 2000
  NPI Data:
  • NPI Number: 1356392252
  • Provider Enumeration Date: 05/15/2006
  • Last Update Date: 11/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5597796904
  • Enrollment ID: I20140617001729

Medical Identifiers

Medical identifiers for Ashish M Rawal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356392252NPI-NPPES
036110642MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 62023-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Stoughton HospitalStoughton, WIHospital
Meriter HospitalMadison, WIHospital
University Of Wi Hospitals & Clinics AuthorityMadison, WIHospital
Ssm Health St Mary's Hospital - MadisonMadison, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stoughton Hospital Association701282570646

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. Ashish M Rawal allows following entities to bill medicare on his behalf.
Entity NameStoughton Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679558647
PECOS PAC ID: 7012825706
Enrollment ID: O20040402001358

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. Ashish M Rawal 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
Ashish M Rawal, MD
900 Ridge St,
Stoughton, WI 53589-1864

Ph: (608) 877-3419		Ashish M Rawal, MD
900 Ridge St,
Stoughton, WI 53589-1864

Ph: (608) 877-3419

Reviews and Comments


Orthopaedic Surgery Doctors in Stoughton, WI

Richard G Rilling, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 225 Church St, Dean Medical Center, Stoughton, WI 53589
Phone: 608-877-2700    Fax: 608-877-2728

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.