Benny Kusuma, MD - Medicare Internal Medicine in La Crosse, WI

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Benny Kusuma, MD is a medicare enrolled "Internal Medicine" physician in La Crosse, Wisconsin. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Gundersen Lutheran Medical Center Inc and his current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Benny Kusuma is licensed to practice in Wisconsin (license number 52325) 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 1073734133.

Contact Information

Benny Kusuma, MD
1836 South Ave,
La Crosse, WI 54601-5429
(608) 782-7300
Not Available

Map and Direction




Physician's Profile

Full NameBenny Kusuma
GenderMale
SpecialityInternal Medicine
Experience22 Years
Location1836 South Ave, La Crosse, 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:
  • Benny Kusuma graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1073734133
  • Provider Enumeration Date: 05/02/2007
  • Last Update Date: 02/08/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5698825883
  • Enrollment ID: I20090610000023

Medical Identifiers

Medical identifiers for Benny Kusuma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073734133NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 6295 (Kansas)Secondary
207R00000XInternal Medicine 52325 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Gundersen Lutheran Medical CenterLa crosse, WIHospital
Gundersen Tri-county Hospital & ClinicsWhitehall, WIHospital
Gundersen St Josephs Hospital And ClinicsHillsboro, WIHospital
Moundview Memorial Hospital And ClinicsFriendship, WIHospital
Gundersen Boscobel Area Hospital And ClinicsBoscobel, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gundersen Lutheran Medical Center Inc2163331414789

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. Benny Kusuma allows following entities to bill medicare on his behalf.
Entity NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139
Entity NameMoundview Memorial Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710939533
PECOS PAC ID: 1355250432
Enrollment ID: O20031121000846
Entity NameSt Joseph's Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104031798
PECOS PAC ID: 3971586439
Enrollment ID: O20040615000273
Entity NameTri-county Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124063573
PECOS PAC ID: 4587642418
Enrollment ID: O20040708000696
Entity NameGundersen Lutheran Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254
Entity NameRural Physicians Group-pannu Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861808719
PECOS PAC ID: 0345467486
Enrollment ID: O20150930000691

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. Benny Kusuma 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
Benny Kusuma, MD
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300		Benny Kusuma, MD
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300

Reviews and Comments


Internal Medicine Doctors in La Crosse, WI

Mary K Frohnauer, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-775-2021    
Derek A Hupp,
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Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Madeline Rita Fasen, DO
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Medicare: Medicare Enrolled
Practice Location: 800 West Ave S, La Crosse, WI 54601
Phone: 608-785-0940    
Allen C. Foster, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Padmavathi Mali, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Emily Catherine Dolan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Adie D Harbin Iii, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    

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.