Dr Adil Ghafoor, MD - Medicare Internal Medicine in Greenfield, WI

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Dr Adil Ghafoor, MD is a medicare enrolled "Internal Medicine" physician in Greenfield, Wisconsin. His current practice location is 6901 W Edgerton Ave, Greenfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 325-5244.

Dr Adil Ghafoor is licensed to practice in Wisconsin (license number 76978) 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 1689109126.

Contact Information

Dr Adil Ghafoor, MD
6901 W Edgerton Ave,
Greenfield, WI 53220-4420
(414) 325-5244
Not Available

Map and Direction




Physician's Profile

Full NameDr Adil Ghafoor
GenderMale
SpecialityInternal Medicine
Location6901 W Edgerton Ave, Greenfield, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689109126
  • Provider Enumeration Date: 04/21/2017
  • Last Update Date: 07/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345519013
  • Enrollment ID: I20230727001529

Medical Identifiers

Medical identifiers for Dr Adil Ghafoor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689109126NPI-NPPES
90735OtherGAGEORGIA MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology MD61064581 (Washington)Secondary
207RG0100XInternal Medicine - Gastroenterology 76978 (Wisconsin)Secondary
207R00000XInternal Medicine 76978 (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. Dr Adil Ghafoor 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
Entity NameAurora Advanced Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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. Dr Adil Ghafoor 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
Dr Adil Ghafoor, MD
Po Box 735044,
Chicago, IL 60673-5044

Ph: (765) 409-2067		Dr Adil Ghafoor, MD
6901 W Edgerton Ave,
Greenfield, WI 53220-4420

Ph: (414) 325-5244

Reviews and Comments


Internal Medicine Doctors in Greenfield, WI

Heidi J Harkins, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220
Phone: 414-421-8400    
Minhaj U Husain, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4600 W Loomis Rd Ste 201, Greenfield, WI 53220
Phone: 414-281-4466    Fax: 414-365-3225
Sarah K Hambrook, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220
Phone: 414-325-5244    
Dr. Michael F Girolami, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220
Phone: 414-421-8400    
Dr. Prasanta K Lahiri, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4448 W Loomis Rd, #204, Greenfield, WI 53220
Phone: 414-281-1688    Fax: 414-281-8170
Dr. Amjed Z Zidan, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220
Phone: 414-325-5244    
Vallikantha Nellaiappan, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4448 W Loomis Rd, Greenfield, WI 53220
Phone: 414-281-5150    

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.