Latha Raja Shankar, MD - Medicare Family Practice in Wauwatosa, WI

Latha Raja Shankar, MD is a medicare enrolled "Family Medicine" physician in Wauwatosa, Wisconsin. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southwest Medical Associates, Llc and her current practice location is 10400 W North Ave, Wauwatosa, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 479-2374.

Latha Raja Shankar is licensed to practice in Wisconsin (license number 43816) 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 1568565646.

Contact Information

Latha Raja Shankar, MD
10400 W North Ave,
Wauwatosa, WI 53226-2425
(414) 479-2374
Not Available



Physician's Profile

Full NameLatha Raja Shankar
GenderFemale
SpecialityFamily Practice
Experience26 Years
Location10400 W North Ave, Wauwatosa, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Latha Raja Shankar graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1568565646
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 06/22/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 6709840895
  • Enrollment ID: I20110930000290

Medical Identifiers

Medical identifiers for Latha Raja Shankar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568565646NPI-NPPES
34148600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 43816 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lovelace Westside HospitalAlbuquerque, NMHospital
Lovelace Medical CenterAlbuquerque, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Medical Associates, Llc7214831114291

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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. Latha Raja Shankar allows following entities to bill medicare on her behalf.
Entity NamePresbyterian Healthcare Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104802354
PECOS PAC ID: 9234041708
Enrollment ID: O20031103000603

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Entity NameSouthwest Medical Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164491072
PECOS PAC ID: 7214831114
Enrollment ID: O20031121000724

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Entity NameMolina Care Connections Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20171212002486

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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. Latha Raja Shankar 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
Latha Raja Shankar, MD
10400 West North Avenue,
Wauwatosa, WI 53226

Ph: (414) 479-2374
Latha Raja Shankar, MD
10400 W North Ave,
Wauwatosa, WI 53226-2425

Ph: (414) 479-2374

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Family Medicine Doctors in Wauwatosa, WI

Cheryl Gupta, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3820 W Bluemound Rd, Suite 125, Wauwatosa, WI 53213
Phone: 414-302-3800    Fax: 414-302-3813
Jessica Lautmann Lenaghan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 201 N Mayfair Rd Fl 2, Wauwatosa, WI 53226
Phone: 414-771-8228    
Dr. Nick William Turkal, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1155 N Honey Creek Pkwy, Wauwatosa, WI 53213
Phone: 414-615-5900    Fax: 414-615-5927
Dr. Nicole Ballinger, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213
Phone: 414-454-6600    Fax: 414-454-6766
Daniel Molinaro, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N Mayfair Rd, Wauwatosa, WI 53226
Phone: 414-476-8450    
Harold Pennington Ducloux, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10400 W North Avve Suite 490, Amg Mid-market Urgent Care Group, Wauwatosa, WI 53226
Phone: 414-479-3758    Fax: 414-479-7254
Dr. Ravi Gupta, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10625 W North Ave, Wauwatosa, WI 53226
Phone: 414-475-5800    Fax: 414-475-5825

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