Dr Prerna Raj Pandya, MD - Medicare Obstetrics/gynecology in Milwaukee, WI

Dr Prerna Raj Pandya, MD is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Milwaukee, Wisconsin. She went to Indiana University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice The Medical College Of Wisconsin Inc, Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and her current practice location is 9200 W Wisconsin Avenue, Urogynecology, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 805-3666.

Dr Prerna Raj Pandya is licensed to practice in Wisconsin (license number 72958) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063754125.

Contact Information

Dr Prerna Raj Pandya, MD
9200 W Wisconsin Avenue, Urogynecology,
Milwaukee, WI 53226-3522
(414) 805-3666
(414) 805-6622

Map and Direction




Physician's Profile

Full NameDr Prerna Raj Pandya
GenderFemale
SpecialityObstetrics/gynecology
Experience11 Years
Location9200 W Wisconsin Avenue, Milwaukee, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Prerna Raj Pandya attended and graduated from Indiana University School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1063754125
  • Provider Enumeration Date: 03/26/2013
  • Last Update Date: 11/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234430059
  • Enrollment ID: I20200730003645

Medical Identifiers

Medical identifiers for Dr Prerna Raj Pandya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063754125NPI-NPPES
1063754125MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VF0040XObstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery 72958 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Froedtert Memorial Lutheran HospitalMilwaukee, WIHospital
St Josephs Community Hospital West BendWest bend, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Medical College Of Wisconsin Inc26683843711736
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc36787600631052

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 Prerna Raj Pandya allows following entities to bill medicare on her behalf.
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259
Entity NameFroedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699

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 Prerna Raj Pandya 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 Prerna Raj Pandya, MD
9200 W Wisconsin Avenue, Urogynecology,
Milwaukee, WI 53226-3522

Ph: (414) 805-3666
Dr Prerna Raj Pandya, MD
9200 W Wisconsin Avenue, Urogynecology,
Milwaukee, WI 53226-3522

Ph: (414) 805-3666

Reviews and Comments


Obstetrics & Gynecology Doctors in Milwaukee, WI

Sofia Gabrilovich, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-805-6673    
Irina Kostova Dimitrova, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2350 N Lake Dr, Milwaukee, WI 53211
Phone: 414-585-1949    
Dr. Dwight P Cruikshank, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 9200 W Wisconsin Ave, Froedtert & Med College Clin - East, Milwaukee, WI 53226
Phone: 414-805-3666    
Kristine R. Graettinger, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-805-6600    Fax: 414-805-6622
Mrs. Helena M Coke, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 'none', Milwaukee, WI 53224
Phone: 414-760-2934    
Paul Ginkel, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 930 W Historic Mitchell St, Milwaukee, WI 53204
Phone: 414-383-9526    Fax: 414-389-3881
Colleen Anne Keane-mullooly, RNC,MS,WHNP
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 302 N Jackson St, Milwaukee, WI 53202
Phone: 608-347-2297    

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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