Anthony J Garcia-prats, MD - Medicare Pediatrics in Madison, WI

Anthony J Garcia-prats, MD is a medicare enrolled "Pediatrics" physician in Madison, Wisconsin. His current practice location is 2880 University Ave, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 263-6421.

Anthony J Garcia-prats is licensed to practice in Wisconsin (license number 71400) 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 1003996356.

Contact Information

Anthony J Garcia-prats, MD
2880 University Ave,
Madison, WI 53705-3644
(608) 263-6421
Not Available

Map and Direction




Physician's Profile

Full NameAnthony J Garcia-prats
GenderMale
SpecialityPediatrics
Location2880 University Ave, Madison, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003996356
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 01/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012948227
  • Enrollment ID: I20190829000051

Medical Identifiers

Medical identifiers for Anthony J Garcia-prats such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003996356NPI-NPPES
175599302MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics M1694 (Texas)Secondary
208000000XPediatrics 71400 (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. Anthony J Garcia-prats allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Wisconsin Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435

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. Anthony J Garcia-prats 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
Anthony J Garcia-prats, MD
7974 Uw Health Ct,
Middleton, WI 53562-5531

Ph: () -
Anthony J Garcia-prats, MD
2880 University Ave,
Madison, WI 53705-3644

Ph: (608) 263-6421

Reviews and Comments


Pediatrics Doctors in Madison, WI

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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