Supatra A Agarwal, AA - Medicare Anesthesiologist Assistant in Milwaukee, WI

Supatra A Agarwal, AA is a medicare enrolled "Anesthesiologist Assistant" in Milwaukee, Wisconsin. Her current practice location is 9200 W Wisconsin Avenue, Department Of Anesthesiology, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 805-8700.

Supatra A Agarwal is licensed to practice in Wisconsin (license number 95) 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 1033589635.

Contact Information

Supatra A Agarwal, AA
9200 W Wisconsin Avenue, Department Of Anesthesiology,
Milwaukee, WI 53226-3522
(414) 805-8700
(414) 259-1522



Provider's Profile

Full NameSupatra A Agarwal
GenderFemale
SpecialityAnesthesiologist Assistant
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: 1033589635
  • Provider Enumeration Date: 09/25/2015
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981913571
  • Enrollment ID: I20151022000014

Medical Identifiers

Medical identifiers for Supatra A Agarwal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033589635NPI-NPPES
015797000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 95 (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. Supatra A Agarwal allows following entities to bill medicare on her behalf.
Entity NameFlorida Clinical Practice Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099

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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. Supatra A Agarwal 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
Supatra A Agarwal, AA
9200 W Wisconsin Avenue, Department Of Anesthesiology,
Milwaukee, WI 53226-3522

Ph: (414) 805-8700
Supatra A Agarwal, AA
9200 W Wisconsin Avenue, Department Of Anesthesiology,
Milwaukee, WI 53226-3522

Ph: (414) 805-8700

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Anesthesiologist Assistant Nurses in Milwaukee, WI

Justin Michael Cole, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2901 W Kinnickinnic River Pkwy Ste 305, Milwaukee, WI 53215
Phone: 414-649-6000    
Mackenzie Lynn Reid, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-805-8700    Fax: 414-259-1522
Aysha T Muhammad, CAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-805-8700    Fax: 414-259-1522
Anjali Rajan Menon, AA-C
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-805-8700    Fax: 414-259-1522
Joseph Shaoul,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 945 N 12th St, Milwaukee, WI 53233
Phone: 414-219-2000    
Mrs. Lea Van Heule, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215
Phone: 231-288-3155    
Sarah Anderson, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215
Phone: 414-649-6000    

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