Susiani Intan, MD in Milwaukee, WI - Medicare Ophthalmology

Susiani Intan, MD is a medicare enrolled "Ophthalmology - Neuro-ophthalmology" physician in Milwaukee, Wisconsin. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is 2801 W Kinnickinnic River Pkwy, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 385-1922.

Susiani Intan is licensed to practice in Wisconsin (license number 62499) 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 1114274529.

Contact Information

	Susiani Intan, MD
	2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669
	(414) 385-1922
	(414) 385-1988

Map and Direction

Physician's Profile

Full Name	Susiani Intan
Gender	Female
Speciality	Ophthalmology
Experience	17 Years
Location	2801 W Kinnickinnic River Pkwy, Milwaukee, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susiani Intan graduated from medical school in 2007

NPI Data:

NPI Number: 1114274529
Provider Enumeration Date: 08/06/2012
Last Update Date: 10/14/2024

Medicare PECOS Information:

PECOS PAC ID: 6709105190
Enrollment ID: I20211025001227

Medical Identifiers

Medical identifiers for Susiani Intan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114274529	NPI	-	NPPES
100038273	Medicaid	WI
1114274529	Medicaid	WA
G8966407	Other	WA	WVH PTAN
G8966408	Other	WA	WVH PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	62449 (Wisconsin)	Secondary
207WX0109X	Ophthalmology - Neuro-ophthalmology	62499 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora St Lukes Medical Center	Milwaukee, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3269

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. Susiani Intan allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Susiani Intan 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
Susiani Intan, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Susiani Intan, MD 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 Ph: (414) 385-1922

Reviews and Comments

Ophthalmology Doctors in Milwaukee, WI

Lincoln Shaw, Ophthalmology Medicare: Medicare Enrolled Practice Location: 2600 N Mayfair Rd Ste 901, Milwaukee, WI 53226 Phone: 773-702-3937
Jay A. Met, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd, #350, Milwaukee, WI 53226 Phone: 414-777-0110
Jane Marie Collis-geers, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2906 S 20th St, Milwaukee, WI 53215 Phone: 414-672-1353 Fax: 414-385-7552
Jacquelyn Laplant, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-2020 Fax: 414-955-6300
Shivam Vipul Amin, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-2020 Fax: 414-955-6300
Jourdan Danielle Valkner Krause, OD Ophthalmology Medicare: Medicare Enrolled Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-2020 Fax: 414-955-6300
Carleigh Nicole Bruce, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-7840

Susiani Intan, MD - Medicare Ophthalmology in Milwaukee, WI