Dr Rajesh Balagani, DO - Medicare Pulmonary Disease in Janesville, WI

Dr Rajesh Balagani, DO is a medicare enrolled "Internal Medicine - Sleep Medicine" physician in Janesville, Wisconsin. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2001 and has 24 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Prohealth Medical Group Inc and his current practice location is 3200 E Racine St, Janesville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 371-8000.

Dr Rajesh Balagani is licensed to practice in Wisconsin (license number 57354) 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 1477754927.

Contact Information

Dr Rajesh Balagani, DO
3200 E Racine St,
Janesville, WI 53546-2343
(608) 371-8000
(608) 371-8941

Map and Direction




Physician's Profile

Full NameDr Rajesh Balagani
GenderMale
SpecialityPulmonary Disease
Experience24 Years
Location3200 E Racine St, Janesville, 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 Rajesh Balagani attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2001
  NPI Data:
  • NPI Number: 1477754927
  • Provider Enumeration Date: 05/31/2007
  • Last Update Date: 08/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0244289395
  • Enrollment ID: I20130814000837

Medical Identifiers

Medical identifiers for Dr Rajesh Balagani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477754927NPI-NPPES
BALAGRAJOtherWIMERCYCARE INSURANCE
0361109121MedicaidIL
1477754927OtherWIBCBSWI
1477754927MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 36110912 (Illinois)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 036110912 (Illinois)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 57354-21 (Wisconsin)Secondary
207RS0012XInternal Medicine - Sleep Medicine 57354 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Waukesha Memorial HospitalWaukesha, WIHospital
Oconomowoc Memorial HospitalOconomowoc, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Medical Group Inc3476465188416

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 Rajesh Balagani allows following entities to bill medicare on his behalf.
Entity NameProhealth Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164

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 Rajesh Balagani 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 Rajesh Balagani, DO
3200 E Racine St,
Janesville, WI 53546-2343

Ph: (608) 371-8000
Dr Rajesh Balagani, DO
3200 E Racine St,
Janesville, WI 53546-2343

Ph: (608) 371-8000

Reviews and Comments


Internal Medicine Doctors in Janesville, WI

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William N Brandt, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 3200 E Racine St, Janesville, WI 53546
Phone: 608-371-8000    Fax: 608-371-8277

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).

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