Nidhi Kumar, MD - Medicare Pathology in Fond Du Lac, WI

  1. Home
  2. Pathology
  3. WI
  4. Fond Du Lac
Nidhi Kumar, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Fond Du Lac, Wisconsin. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Associated Pathologists, Sc and her current practice location is 430 E Division St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 926-5886.

Nidhi Kumar is licensed to practice in Wisconsin (license number 47027) 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 1154494409.

Contact Information

Nidhi Kumar, MD
430 E Division St,
Fond Du Lac, WI 54935-4560
(920) 926-5886
Not Available

Map and Direction




Physician's Profile

Full NameNidhi Kumar
GenderFemale
SpecialityPathology
Experience28 Years
Location430 E Division St, Fond Du Lac, 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:
  • Nidhi Kumar graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1154494409
  • Provider Enumeration Date: 11/16/2006
  • Last Update Date: 01/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0345341772
  • Enrollment ID: I20070728000224

Medical Identifiers

Medical identifiers for Nidhi Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154494409NPI-NPPES
34787200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 47027 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Agnes HospitalFond du lac, WIHospital
Waupun Memorial HospitalWaupun, WIHospital
Ripon Medical CenterRipon, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Associated Pathologists, Sc973928547918

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. Nidhi Kumar allows following entities to bill medicare on her behalf.
Entity NameAssociated Pathologists, Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396782231
PECOS PAC ID: 9739285479
Enrollment ID: O20070426000271

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. Nidhi Kumar 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
Nidhi Kumar, MD
430 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-5886		Nidhi Kumar, MD
430 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-5886

Reviews and Comments


Pathology Doctors in Fond Du Lac, WI

Dr. Philip Douglas Kelley, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 134 Western Ave, Fond Du Lac, WI 54935
Phone: 920-929-3366    Fax: 920-929-6818
Dr. Jonathan Gedye, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-929-9300    Fax: 920-923-5260
Dr. Joan Louise Mueller, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 430 E Division St, St. Agnes Hospital Pathology Dept, Fond Du Lac, WI 54935
Phone: 920-926-5800    Fax: 920-926-4300
Dr. Shannon Kane Rathke, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-929-9300    

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.