Dr Shazia Ghouri, DO - Medicare Family Practice in Mount Pleasant, WI

Dr Shazia Ghouri, DO is a medicare enrolled "Family Medicine" physician in Mount Pleasant, Wisconsin. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Wheaton Franciscan Medical Group Inc and her current practice location is 3807 Spring St, Mount Pleasant, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 687-8173.

Dr Shazia Ghouri is licensed to practice in Wisconsin (license number 67619) 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 1538573118.

Contact Information

Dr Shazia Ghouri, DO
3807 Spring St,
Mount Pleasant, WI 53405-1667
(262) 687-8173
Not Available

Map and Direction




Physician's Profile

Full NameDr Shazia Ghouri
GenderFemale
SpecialityFamily Practice
Experience10 Years
Location3807 Spring St, Mount Pleasant, 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 Shazia Ghouri attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2014
  NPI Data:
  • NPI Number: 1538573118
  • Provider Enumeration Date: 06/11/2014
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5395016745
  • Enrollment ID: I20170803003015

Medical Identifiers

Medical identifiers for Dr Shazia Ghouri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538573118NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 67619 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension At HomeMilwaukee, WIHome health agency
Ascension All Saints HospitalRacine, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wheaton Franciscan Medical Group Inc8628980943565

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 Shazia Ghouri allows following entities to bill medicare on her 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 Shazia Ghouri 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 Shazia Ghouri, DO
3807 Spring St,
Mount Pleasant, WI 53405-1667

Ph: (262) 687-8173
Dr Shazia Ghouri, DO
3807 Spring St,
Mount Pleasant, WI 53405-1667

Ph: (262) 687-8173

Reviews and Comments


Family Medicine Doctors in Mount Pleasant, WI

Ms. Priya Ramdass, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-321-3000    Fax: 262-321-3011
Amy P Kelly, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-321-3000    
Dr. Angelo B Reyes, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5801 Washington Ave, Ste 99, Mount Pleasant, WI 53406
Phone: 913-359-6001    Fax: 913-359-5552
Michael Pothen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-884-4000    
Victoria C Quinn, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-884-4000    
Christopher Vincent Cataldi, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-884-4000    
Dr. Mathew Pothen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-884-4000    

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.