Dr Subbanna Jayaprakash, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Racine, Wisconsin. He graduated from medical school in 1976 and has 49 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Wheaton Franciscan Medical Group Inc and his current practice location is
3811 Spring St, Suite 301, Racine, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 687-6262.
Dr Subbanna Jayaprakash is licensed to practice in Wisconsin (license number O27676) 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 1568450211.
Physician's Profile
| Full Name | Dr Subbanna Jayaprakash |
|---|
| Gender | Male |
|---|
| Speciality | Physical Medicine And Rehabilitation |
|---|
| Experience | 49 Years |
|---|
| Location | 3811 Spring St, Racine, Wisconsin |
|---|
| Accepts Medicare Assignments | Yes. 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 Subbanna Jayaprakash graduated from medical school in 1976
NPI Data:
- NPI Number: 1568450211
- Provider Enumeration Date: 10/07/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4880583574
- Enrollment ID: I20040312000185
Medical Identifiers
Medical identifiers for Dr Subbanna Jayaprakash such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568450211 | NPI | - | NPPES |
| 314772200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | O27676 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wheaton Franciscan Medical Group Inc | 8628980943 | 565 |
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 Subbanna Jayaprakash allows following entities to bill medicare on his behalf.
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI 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 Subbanna Jayaprakash 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 Address | Practice Location Address |
|---|
Dr Subbanna Jayaprakash, MD
7401 Latigo Cir,
Franksville, WI 53126-9468
Ph: (262) 886-6252 | Dr Subbanna Jayaprakash, MD
3811 Spring St, Suite 301,
Racine, WI 53405-1667
Ph: (262) 687-6262 |
Reviews and Comments