Dr Jimmy Viet Ninh, MD - Medicare Neurology in Kenosha, WI

Dr Jimmy Viet Ninh, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Kenosha, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2004 and has 20 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 10400 75th St, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 948-7815.

Dr Jimmy Viet Ninh is licensed to practice in Illinois (license number 036-116615) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104088939.

Contact Information

Dr Jimmy Viet Ninh, MD
10400 75th St,
Kenosha, WI 53142-7884
(262) 948-7815
Not Available



Physician's Profile

Full NameDr Jimmy Viet Ninh
GenderMale
SpecialityNeurology
Experience20 Years
Location10400 75th St, Kenosha, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jimmy Viet Ninh attended and graduated from Medical College Of Wisconsin in 2004
  NPI Data:
  • NPI Number: 1104088939
  • Provider Enumeration Date: 07/02/2008
  • Last Update Date: 12/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608913835
  • Enrollment ID: I20171127002601

Medical Identifiers

Medical identifiers for Dr Jimmy Viet Ninh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104088939NPI-NPPES
216585403MedicaidTX
32826200MedicaidWI
036116615MedicaidIL
216585404MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 036-116615 (Illinois)Primary
2084N0400XPsychiatry & Neurology - Neurology MD60140541 (Washington)Secondary
2084N0400XPsychiatry & Neurology - Neurology 85828 (Georgia)Secondary
2084N0400XPsychiatry & Neurology - Neurology 68747 (Wisconsin)Secondary
2084N0400XPsychiatry & Neurology - Neurology N2690 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Medical Center KenoshaKenosha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583207

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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 Jimmy Viet Ninh 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

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Entity NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139

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Entity NameFroedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699

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Entity NameGundersen Lutheran Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254

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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 Jimmy Viet Ninh 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 Jimmy Viet Ninh, MD
Po Box 735044,
Chicago, IL 60673-5044

Ph: (800) 326-2250
Dr Jimmy Viet Ninh, MD
10400 75th St,
Kenosha, WI 53142-7884

Ph: (262) 948-7815

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Psychiatry & Neurology Doctors in Kenosha, WI

Dr. Pushparanee Babusukumar, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3535 30th Ave, Suite 201, Kenosha, WI 53144
Phone: 262-652-7813    Fax: 262-652-4450
Dr. Mathew Sean Mccarthy, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3536 52nd St, Kenosha, WI 53144
Phone: 262-657-1090    
Dr. Saritha Kundoor, M.D
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-948-5600    
Anna Klyachkina, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 12225 71st St, Kenosha, WI 53142
Phone: 262-948-4870    
Dr. Vanessa Q Chang, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 10400 75th St, #307, Kenosha, WI 53142
Phone: 262-948-6770    
Ronald Rubin, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3734 7th Ave Ste 12, Kenosha, WI 53140
Phone: 262-654-9370    Fax: 262-654-9379

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