Dr Jay Shankar Balachandran, MD - Medicare Pulmonary Disease in Mequon, WI

Dr Jay Shankar Balachandran, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Mequon, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Greater Milwaukee Critical Care And Pulmonary Associates Sc, Madison Medical Affiliates Inc and his current practice location is 13133 N Port Washington Rd, Suite 104, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 243-5044.

Dr Jay Shankar Balachandran is licensed to practice in Wisconsin (license number 64930) 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 1396786273.

Contact Information

Dr Jay Shankar Balachandran, MD
13133 N Port Washington Rd, Suite 104,
Mequon, WI 53097-2419
(262) 243-5044
(262) 243-2510

Map and Direction




Physician's Profile

Full NameDr Jay Shankar Balachandran
GenderMale
SpecialityPulmonary Disease
Experience21 Years
Location13133 N Port Washington Rd, Mequon, 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 Jay Shankar Balachandran attended and graduated from University Of Wisconsin School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1396786273
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 11/07/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8022012079
  • Enrollment ID: I20151229001002

Medical Identifiers

Medical identifiers for Dr Jay Shankar Balachandran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396786273NPI-NPPES
1396786273MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 64930 (Wisconsin)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 64930 (Wisconsin)Primary
207RS0012XInternal Medicine - Sleep Medicine 64930 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Columbia St Mary's Hospital MilwaukeeMilwaukee, WIHospital
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WIHospital
Ascension Se Wisconsin Hospital - St Joseph CampusMilwaukee, WIHospital
Ascension St Francis HospitalMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Greater Milwaukee Critical Care And Pulmonary Associates Sc02443045582
Madison Medical Affiliates Inc599160633780

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 Jay Shankar Balachandran allows following entities to bill medicare on his behalf.
Entity NameMadison Medical Affiliates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588695746
PECOS PAC ID: 5991606337
Enrollment ID: O20040119000018
Entity NameGreater Milwaukee Critical Care And Pulmonary Associates Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952569816
PECOS PAC ID: 0244304558
Enrollment ID: O20080805000542

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 Jay Shankar Balachandran 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 Jay Shankar Balachandran, MD
788 N Jefferson St, Suite 300/attn. Kaaren Butzen,
Milwaukee, WI 53202-3718

Ph: (414) 272-8950
Dr Jay Shankar Balachandran, MD
13133 N Port Washington Rd, Suite 104,
Mequon, WI 53097-2419

Ph: (262) 243-5044

Reviews and Comments


Internal Medicine Doctors in Mequon, WI

Marsha Fleming Davis, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1516 W Mequon Rd, Suite 103, Mequon, WI 53092
Phone: 262-242-0700    Fax: 262-242-0710
George Albert Munkwitz, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 2300 W. Bonniwell Rd., Mequon, WI 53097
Phone: 262-243-5861    
Norine T. Nazareth, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092
Phone: 262-387-8200    Fax: 262-387-8271
Luke F Rehrauer, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 12203 N Corporate Pkwy, Mequon, WI 53092
Phone: 262-387-8200    Fax: 262-387-8271
Sonya Chalasani Rayan, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 13133 N Port Washington Rd, Suite 206, Mequon, WI 53097
Phone: 262-243-7680    Fax: 262-243-7770
Keely Bornor Browning,
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 13133 N Port Washington Rd Ste G16, Mequon, WI 53097
Phone: 262-243-2500    
Drew M Elgin, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 13133 N Port Washington Rd, Suite G16, Mequon, WI 53097
Phone: 262-243-2500    Fax: 262-243-5395

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.

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