Krystyna L Abdulla, DO - Medicare Emergency Medicine in New Berlin, WI

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Krystyna L Abdulla, DO is a medicare enrolled "Emergency Medicine" physician in New Berlin, Wisconsin. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Prohealth Medical Group Inc and her current practice location is 14555 W National Ave, New Berlin, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 827-3636.

Krystyna L Abdulla is licensed to practice in Wisconsin (license number 64181) 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 1205146578.

Contact Information

Krystyna L Abdulla, DO
14555 W National Ave,
New Berlin, WI 53151-4494
(262) 827-3636
Not Available

Map and Direction




Physician's Profile

Full NameKrystyna L Abdulla
GenderFemale
SpecialityEmergency Medicine
Experience13 Years
Location14555 W National Ave, New Berlin, 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:
  • Krystyna L Abdulla graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1205146578
  • Provider Enumeration Date: 10/20/2010
  • Last Update Date: 02/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6800074352
  • Enrollment ID: I20160215002651

Medical Identifiers

Medical identifiers for Krystyna L Abdulla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205146578NPI-NPPES
100051839MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 64181 (Wisconsin)Primary

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. Krystyna L Abdulla allows following entities to bill medicare on her 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. Krystyna L Abdulla 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
Krystyna L Abdulla, DO
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843

Ph: (414) 389-2377		Krystyna L Abdulla, DO
14555 W National Ave,
New Berlin, WI 53151-4494

Ph: (262) 827-3636

Reviews and Comments


Emergency Medicine Doctors in New Berlin, WI

Enrique W Luy, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6165 Preston Ln, New Berlin, WI 53151
Phone: 414-525-0221    
Dr. Peter G. Parrino, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4805 S Moorland Rd, New Berlin, WI 53151
Phone: 262-798-7200    Fax: 262-798-7201

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.