Dr Indira P Andhole, MD is a medicare enrolled "Pediatrics" physician in Depere, Wisconsin. Her current practice location is
1881 Chicago St, Depere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 403-8000.
Dr Indira P Andhole is licensed to practice in Wisconsin (license number 40289) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184632747.
Physician's Profile
Full Name | Dr Indira P Andhole |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1881 Chicago St, Depere, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184632747
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820123466
- Enrollment ID: I20100320000271
Medical Identifiers
Medical identifiers for Dr Indira P Andhole such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184632747 | NPI | - | NPPES |
32593400 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 40289 (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 Indira P Andhole allows following entities to bill medicare on her behalf.
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
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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 Indira P Andhole 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 Indira P Andhole, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr Indira P Andhole, MD 1881 Chicago St, Depere, WI 54115 Ph: (920) 403-8000 |
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