Dr Alejandro Garcia, MD - Medicare Sports Medicine in Appleton, WI

Dr Alejandro Garcia, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Appleton, Wisconsin. He went to University Of Puerto Rico School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Ascension Medical Group-fox Valley Wisconsin Inc and his current practice location is 1531 S Madison St, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 996-3700.

Dr Alejandro Garcia is licensed to practice in Wisconsin (license number 54203-020) 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 1073703153.

Contact Information

Dr Alejandro Garcia, MD
1531 S Madison St,
Appleton, WI 54915-1800
(920) 996-3700
Not Available

Map and Direction




Physician's Profile

Full NameDr Alejandro Garcia
GenderMale
SpecialitySports Medicine
Experience17 Years
Location1531 S Madison St, Appleton, 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:
  • Dr Alejandro Garcia attended and graduated from University Of Puerto Rico School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1073703153
  • Provider Enumeration Date: 07/26/2007
  • Last Update Date: 05/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8921155417
  • Enrollment ID: I20110405000911

Medical Identifiers

Medical identifiers for Dr Alejandro Garcia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073703153NPI-NPPES
ENROLLEDMedicaidMN
P00764025OtherMNMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 51582 (Minnesota)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207QS0010XFamily Medicine - Sports Medicine 54203-020 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Medical Group-fox Valley Wisconsin Inc0244142420240

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 Alejandro Garcia allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-fox Valley Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730126392
PECOS PAC ID: 0244142420
Enrollment ID: O20031105000351

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 Alejandro Garcia 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 Alejandro Garcia, MD
1531 S Madison St,
Appleton, WI 54915-1800

Ph: (920) 996-3700
Dr Alejandro Garcia, MD
1531 S Madison St,
Appleton, WI 54915-1800

Ph: (920) 996-3700

Reviews and Comments


Family Medicine Doctors in Appleton, WI

Michael John Van Abel, DO
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Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
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Stephen C Fuller, MD
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Brittany E Goodrich-braun,
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Dirk Jon Derksen, MD
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Ms. Cynthia Frances Susedik, D.O.
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Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    Fax: 920-993-5037
N Carter Noble, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 3329 N Richmond St, Appleton, WI 54911
Phone: 920-380-2715    

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.