Prof Kondragunta Rajendra Prasad, MD - Medicare Transplant Surgery in Milwaukee, WI

Prof Kondragunta Rajendra Prasad, MD is a medicare enrolled "Transplant Surgery" physician in Milwaukee, Wisconsin. His current practice location is 9200 W Wisconsin Avenue, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 805-6400.

Prof Kondragunta Rajendra Prasad is licensed to practice in Wisconsin (license number 9-876) 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 1033808498.

Contact Information

Prof Kondragunta Rajendra Prasad, MD
9200 W Wisconsin Avenue,
Milwaukee, WI 53226-3522
(414) 805-6400
(414) 955-0213



Physician's Profile

Full NameProf Kondragunta Rajendra Prasad
GenderMale
SpecialityTransplant Surgery
Location9200 W Wisconsin Avenue, Milwaukee, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033808498
  • Provider Enumeration Date: 05/02/2023
  • Last Update Date: 05/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042676975
  • Enrollment ID: I20230519000933

Medical Identifiers

Medical identifiers for Prof Kondragunta Rajendra Prasad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033808498NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086X0206XSurgery - Surgical Oncology 9-876 (Wisconsin)Secondary
204F00000XTransplant Surgery 9-876 (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. Prof Kondragunta Rajendra Prasad allows following entities to bill medicare on his behalf.
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259

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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. Prof Kondragunta Rajendra Prasad 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
Prof Kondragunta Rajendra Prasad, MD
9200 W Wisconsin Avenue,
Milwaukee, WI 53226-3522

Ph: (414) 805-6400
Prof Kondragunta Rajendra Prasad, MD
9200 W Wisconsin Avenue,
Milwaukee, WI 53226-3522

Ph: (414) 805-6400

News Archive

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