Dr John Carter Ralphe, MD - Medicare Pediatrics in Madison, WI

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Dr John Carter Ralphe, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Madison, Wisconsin. His current practice location is 600 Highland Ave, H4/414 Csc, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 262-1603.

Dr John Carter Ralphe is licensed to practice in Wisconsin (license number 51095-020) 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 1811962921.

Contact Information

Dr John Carter Ralphe, MD
600 Highland Ave, H4/414 Csc,
Madison, WI 53792-0001
(608) 262-1603
(608) 263-0440

Map and Direction




Physician's Profile

Full NameDr John Carter Ralphe
GenderMale
SpecialityPediatrics - Pediatric Cardiology
Location600 Highland Ave, Madison, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811962921
  • Provider Enumeration Date: 02/22/2006
  • Last Update Date: 08/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608853056
  • Enrollment ID: I20080227000658

Medical Identifiers

Medical identifiers for Dr John Carter Ralphe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811962921NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0202XPediatrics - Pediatric Cardiology 51095-020 (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 John Carter Ralphe 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 NameUniversity Of Wisconsin Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435
Entity NameAspirus Wausau Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922321140
PECOS PAC ID: 6406757442
Enrollment ID: O20040114000297
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
Entity NameAurora Advanced Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423
Entity NameGundersen Lutheran Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254

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 John Carter Ralphe 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 John Carter Ralphe, MD
7974 Uw Health Ct,
Middleton, WI 53562-5531

Ph: () -		Dr John Carter Ralphe, MD
600 Highland Ave, H4/414 Csc,
Madison, WI 53792-0001

Ph: (608) 262-1603

Reviews and Comments


Pediatrics Doctors in Madison, WI

Dr. Emily Ann Forster, MD
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Dr. Daniel J Jackson, M.D.
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Michael W Ritter, MD
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Phone: 608-831-1528    
Dr. Jesse Roach, M.D.
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Practice Location: 600 Highland Ave, Madison, WI 53792
Phone: 608-263-6420    
Norris Glick, MD
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Practice Location: 317 Knutson Drive, Madison, WI 53704
Phone: 608-301-1791    

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.