Dr Pedro M Banda, MD - Medicare Urology in Milwaukee, WI

Dr Pedro M Banda, MD is a medicare enrolled "Urology" physician in Milwaukee, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Urology. He is a member of the group practice Wisconsin Health Fund, Columbia St Marys Hospital Milwaukee Inc and his current practice location is 2311 N Prospect Ave, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 319-3000.

Dr Pedro M Banda is licensed to practice in Wisconsin (license number 45820) 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 1033106877.

Contact Information

Dr Pedro M Banda, MD
2311 N Prospect Ave,
Milwaukee, WI 53211-4445
(414) 319-3000
(414) 319-3087

Map and Direction




Physician's Profile

Full NameDr Pedro M Banda
GenderMale
SpecialityUrology
Experience31 Years
Location2311 N Prospect Ave, Milwaukee, 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 Pedro M Banda attended and graduated from University Of Wisconsin School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1033106877
  • Provider Enumeration Date: 10/05/2005
  • Last Update Date: 06/07/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0446268338
  • Enrollment ID: I20060404000587

Medical Identifiers

Medical identifiers for Dr Pedro M Banda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033106877NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 45820 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Columbia St Mary's Hospital MilwaukeeMilwaukee, WIHospital
Ascension St Francis HospitalMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wisconsin Health Fund307240129827
Columbia St Marys Hospital Milwaukee Inc5890604722270

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 Pedro M Banda allows following entities to bill medicare on his behalf.
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057
Entity NameWisconsin Health Fund
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497768659
PECOS PAC ID: 3072401298
Enrollment ID: O20040309000864

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 Pedro M Banda 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 Pedro M Banda, MD
4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing,
Glendale, WI 53212-1082

Ph: (414) 319-3000
Dr Pedro M Banda, MD
2311 N Prospect Ave,
Milwaukee, WI 53211-4445

Ph: (414) 319-3000

Reviews and Comments


Urology Doctors in Milwaukee, WI

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Joshua Alan Bodie, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 9200 W Wisconsin Ave, Department Of Urology, Milwaukee, WI 53226
Phone: 414-805-0805    Fax: 414-805-0771

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.