Pradeep Gopi Kumar, MD - Medicare Pediatrics in Mount Pleasant, WI

Pradeep Gopi Kumar, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Mount Pleasant, Wisconsin. His current practice location is 8400 Washington Ave, Mount Pleasant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 884-4000.

Pradeep Gopi Kumar is licensed to practice in Wisconsin (license number 41877) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164463261.

Contact Information

Pradeep Gopi Kumar, MD
8400 Washington Ave,
Mount Pleasant, WI 53406-3735
(262) 884-4000
Not Available

Map and Direction




Physician's Profile

Full NamePradeep Gopi Kumar
GenderMale
SpecialityPediatrics - Adolescent Medicine
Location8400 Washington Ave, Mount Pleasant, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164463261
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 11/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931383874
  • Enrollment ID: I20110418000489

Medical Identifiers

Medical identifiers for Pradeep Gopi Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164463261NPI-NPPES
32632100MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 41877 (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. Pradeep Gopi Kumar allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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. Pradeep Gopi 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
Pradeep Gopi Kumar, MD
Po Box 735044,
Chicago, IL 60673-5044

Ph: () -
Pradeep Gopi Kumar, MD
8400 Washington Ave,
Mount Pleasant, WI 53406-3735

Ph: (262) 884-4000

Reviews and Comments


Pediatrics Doctors in Mount Pleasant, WI

Dr. Rebecca Lindsey Lescher, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-884-4000    
Lesley Delgado, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3807 Spring St, Mount Pleasant, WI 53405
Phone: 262-687-8282    Fax: 262-687-8224
Jason R Friedlander, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3805b Spring St Ste 130, Mount Pleasant, WI 53405
Phone: 262-631-8750    Fax: 262-631-8754
Dr. Theresa Kathryn Umhoefer, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3807 Spring St, Mount Pleasant, WI 53405
Phone: 262-687-8282    
Dr. Nagendram Paidisetty, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3801 Spring St, Mount Pleasant, WI 53405
Phone: 262-687-4011    
Eva K Alessia, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3807 Spring St, Mount Pleasant, WI 53405
Phone: 262-687-8282    

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).

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