Dr Laeekha A Ali, MD - Medicare Pathology in Beaver Dam, WI

Dr Laeekha A Ali, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Beaver Dam, Wisconsin. Her current practice location is 707 S University Ave, Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 887-7181.

Dr Laeekha A Ali is licensed to practice in Wisconsin (license number 28738) 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 1245200427.

Contact Information

Dr Laeekha A Ali, MD
707 S University Ave,
Beaver Dam, WI 53916-3027
(920) 887-7181
(920) 887-6833



Physician's Profile

Full NameDr Laeekha A Ali
GenderFemale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location707 S University Ave, Beaver Dam, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245200427
  • Provider Enumeration Date: 01/23/2006
  • Last Update Date: 05/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688680911
  • Enrollment ID: I20060223000717

Medical Identifiers

Medical identifiers for Dr Laeekha A Ali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245200427NPI-NPPES
32510400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 28738 (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 Laeekha A Ali allows following entities to bill medicare on her behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590

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Entity NameBeaver Dam Community Hospitals Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972188555
PECOS PAC ID: 2567370539
Enrollment ID: O20040210000666

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Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909

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Entity NameMarshfield Labs Outreach Trust
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467462432
PECOS PAC ID: 4183514235
Enrollment ID: O20040319001215

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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 Laeekha A Ali 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 Laeekha A Ali, MD
1000 N Oak Ave,
Marshfield, WI 54449-5703

Ph: (715) 387-5511
Dr Laeekha A Ali, MD
707 S University Ave,
Beaver Dam, WI 53916-3027

Ph: (920) 887-7181

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› Verified 4 days ago


Pathology Doctors in Beaver Dam, WI

Kathryn M Swartz, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 707 S University Ave, Beaver Dam, WI 53916
Phone: 920-887-7181    Fax: 920-887-6833

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