Dr Indira P Andhole, MD - Medicare Pediatrics in Depere, WI

Dr Indira P Andhole, MD is a medicare enrolled "Pediatrics" physician in Depere, Wisconsin. Her current practice location is 1881 Chicago St, Depere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 403-8000.

Dr Indira P Andhole is licensed to practice in Wisconsin (license number 40289) 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 1184632747.

Contact Information

Dr Indira P Andhole, MD
1881 Chicago St,
Depere, WI 54115
(920) 403-8000
(920) 403-8204



Physician's Profile

Full NameDr Indira P Andhole
GenderFemale
SpecialityPediatrics
Location1881 Chicago St, Depere, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184632747
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820123466
  • Enrollment ID: I20100320000271

Medical Identifiers

Medical identifiers for Dr Indira P Andhole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184632747NPI-NPPES
32593400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 40289 (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. Dr Indira P Andhole allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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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. Dr Indira P Andhole 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
Dr Indira P Andhole, MD
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843

Ph: (414) 647-6326
Dr Indira P Andhole, MD
1881 Chicago St,
Depere, WI 54115

Ph: (920) 403-8000

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Pediatrics Doctors in Depere, WI

Dr. Jennifer L Hoyer, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1881 Chicago St, Depere, WI 54115
Phone: 920-403-8000    Fax: 920-403-8204
Dr. Ronald E Roup, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1881 Chicago St, Depere, WI 54115
Phone: 920-403-8000    Fax: 920-403-8204

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