Dr Jose S Abad Santos, MD - Medicare Pediatrics in Sussex, WI

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Dr Jose S Abad Santos, MD is a medicare enrolled "Pediatrics" physician in Sussex, Wisconsin. His current practice location is W227n6103 Sussex Rd, Sussex, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 566-6400.

Dr Jose S Abad Santos is licensed to practice in Wisconsin (license number 34691-020) 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 1144297730.

Contact Information

Dr Jose S Abad Santos, MD
W227n6103 Sussex Rd,
Sussex, WI 53089-3969
(414) 566-6400
(414) 566-3866

Map and Direction




Physician's Profile

Full NameDr Jose S Abad Santos
GenderMale
SpecialityPediatrics
LocationW227n6103 Sussex Rd, Sussex, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144297730
  • Provider Enumeration Date: 03/02/2006
  • Last Update Date: 01/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2769613561
  • Enrollment ID: I20140319002416

Medical Identifiers

Medical identifiers for Dr Jose S Abad Santos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144297730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 34691-020 (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 Jose S Abad Santos allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421

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 Jose S Abad Santos 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 Jose S Abad Santos, MD
W227n6103 Sussex Rd,
Sussex, WI 53089-3969

Ph: (414) 566-6400		Dr Jose S Abad Santos, MD
W227n6103 Sussex Rd,
Sussex, WI 53089-3969

Ph: (414) 566-6400

Reviews and Comments


Pediatrics Doctors in Sussex, WI

Dr. Kimberly L Mcelroy, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: W227n6103 Sussex Rd, Sussex, WI 53089
Phone: 414-566-6400    Fax: 414-566-3866

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.