Gunjan Khandpur, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Elm Grove, Wisconsin. Her current practice location is
13340 W Bluemound Rd, Unit 2, Elm Grove, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 312-0695.
Gunjan Khandpur is licensed to practice in Wisconsin (license number 55358020) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548491343.
Physician's Profile
Full Name | Gunjan Khandpur |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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Location | 13340 W Bluemound Rd, Elm Grove, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548491343
- Provider Enumeration Date: 07/28/2009
- Last Update Date: 02/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830377811
- Enrollment ID: I20110621000742
Medical Identifiers
Medical identifiers for Gunjan Khandpur such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548491343 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 55358020 (Wisconsin) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 55358020 (Wisconsin) | Primary |
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. Gunjan Khandpur allows following entities to bill medicare on her behalf.
Entity Name | Rogers Memorial Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053329581 PECOS PAC ID: 3476455809 Enrollment ID: O20040124000371 |
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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. Gunjan Khandpur 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 |
Gunjan Khandpur, MD 13340 W Bluemound Rd, Unit 2, Elm Grove, WI 53122-2537 Ph: (262) 312-0695 | Gunjan Khandpur, MD 13340 W Bluemound Rd, Unit 2, Elm Grove, WI 53122-2537 Ph: (262) 312-0695 |
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