Jared Connolly, - Medicare Pediatrics in Greenfield, WI

Jared Connolly, is a medicare enrolled "Pediatrics" physician in Greenfield, Wisconsin. His current practice location is 9000 W Sura Ln, Greenfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 246-6800.

Jared Connolly is licensed to practice in Wisconsin (license number 71078) 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 1790130474.

Contact Information

Jared Connolly,
9000 W Sura Ln,
Greenfield, WI 53228
(414) 246-6800
(414) 246-6405



Physician's Profile

Full NameJared Connolly
GenderMale
SpecialityPediatrics
Location9000 W Sura Ln, Greenfield, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790130474
  • Provider Enumeration Date: 04/29/2016
  • Last Update Date: 01/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6305171547
  • Enrollment ID: I20190710003533

Medical Identifiers

Medical identifiers for Jared Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790130474NPI-NPPES
100089836MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 71078 (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. Jared Connolly 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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› Verified 9 days ago

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. Jared Connolly 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
Jared Connolly,
9000 W Sura Ln,
Greenfield, WI 53228-3477

Ph: (414) 246-6800
Jared Connolly,
9000 W Sura Ln,
Greenfield, WI 53228

Ph: (414) 246-6800

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Pediatrics Doctors in Greenfield, WI

Lauren Heaberlin, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220
Phone: 414-325-5244    
Jacquelyn C Kuzminski, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9000 W Sura Ln, Greenfield, WI 53228
Phone: 414-246-6800    
Kevin Glatt, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9000 W Sura Ln, Greenfield, WI 53228
Phone: 414-246-6800    
Robert E. Brueggeman, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 4848 S 76th St, Suite 210, Greenfield, WI 53220
Phone: 414-282-7444    Fax: 414-282-8221
Dr. Anoop Mohamed Iqbal, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9000 W Sura Ln, Greenfield, WI 53228
Phone: 414-246-6800    
Zahra Nouri, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9000 W Sura Ln, Greenfield, WI 53228
Phone: 414-246-6400    
Cheryl J. Dominski, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 4848 S 76th St, Suite 210, Greenfield, WI 53220
Phone: 414-282-7444    Fax: 414-282-8221

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