Dr Ajay K Gupta, MD in Sheboygan, WI - Medicare Ophthalmology

Dr Ajay K Gupta, MD is a medicare enrolled "Ophthalmology" physician in Sheboygan, Wisconsin. He went to University Of Cincinnati College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice St. Nicholas Hospital-sisters Of The Third Order Of St Francis and his current practice location is 3113 Saemann Ave, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 496-4700.

Dr Ajay K Gupta is licensed to practice in Wisconsin (license number 71682-20) 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 1316049265.

Contact Information

	Dr Ajay K Gupta, MD
	3113 Saemann Ave, Sheboygan, WI 53081-1957
	(920) 496-4700
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ajay K Gupta
Gender	Male
Speciality	Ophthalmology
Experience	25 Years
Location	3113 Saemann Ave, Sheboygan, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ajay K Gupta attended and graduated from University Of Cincinnati College Of Medicine in 1999

NPI Data:

NPI Number: 1316049265
Provider Enumeration Date: 09/02/2006
Last Update Date: 04/22/2024

Medicare PECOS Information:

PECOS PAC ID: 1254382088
Enrollment ID: I20191212000905

Medical Identifiers

Medical identifiers for Dr Ajay K Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316049265	NPI	-	NPPES
2551662	Medicaid	OH
100095643	Medicaid	WI
000000358460	Other	OH	ANTHEM BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	71682-20 (Wisconsin)	Primary
207W00000X	Ophthalmology	OH 35 084276 (Ohio)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Nicholas Hospital	Sheboygan, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Nicholas Hospital-sisters Of The Third Order Of St Francis	8325931652	151

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 Ajay K Gupta allows following entities to bill medicare on his behalf.

Entity Name	Prevea Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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 Ajay K 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 Address	Practice Location Address
Dr Ajay K Gupta, MD 3113 Saemann Ave, Sheboygan, WI 53081-1957 Ph: (920) 496-4700	Dr Ajay K Gupta, MD 3113 Saemann Ave, Sheboygan, WI 53081-1957 Ph: (920) 496-4700

Reviews and Comments

Ophthalmology Doctors in Sheboygan, WI

Kathryn A Green, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1442 N 31st St, Sheboygan, WI 53081 Phone: 920-452-1810
Dr. Larry M Zweben, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1486
Abby Vercio, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3113 Saemann Ave, Sheboygan, WI 53081 Phone: 920-496-4700
Jean Harriet Schott-wagner, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2209 South Memorial Place, Sheboygan, WI 53081 Phone: 920-459-8811 Fax: 920-459-9871
Todd Robert Larson, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1442 N 31st St, Sheboygan, WI 53081 Phone: 920-452-5400 Fax: 920-452-1920
Dr. Christopher L Larson, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1442 N 31st St, Sheboygan, WI 53081 Phone: 920-452-5400 Fax: 920-452-1920

Dr Ajay K Gupta, MD - Medicare Ophthalmology in Sheboygan, WI