Dr Abdelouahid Souala, MD - Medicare Surgery in Sheboygan, WI

Dr Abdelouahid Souala, MD is a medicare enrolled "Surgery" physician in Sheboygan, Wisconsin. His current practice location is 3113 Saemann Ave, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 496-4700.

Dr Abdelouahid Souala is licensed to practice in Wisconsin (license number 81346-20) 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 1033600721.

Contact Information

Dr Abdelouahid Souala, MD
3113 Saemann Ave,
Sheboygan, WI 53081-1957
(920) 496-4700
Not Available

Map and Direction




Physician's Profile

Full NameDr Abdelouahid Souala
GenderMale
SpecialitySurgery
Location3113 Saemann Ave, Sheboygan, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033600721
  • Provider Enumeration Date: 05/29/2018
  • Last Update Date: 12/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486901451
  • Enrollment ID: I20230809001790

Medical Identifiers

Medical identifiers for Dr Abdelouahid Souala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033600721NPI-NPPES
100245294MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 125.072496 (Illinois)Secondary
208600000XSurgery 81346-20 (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. Dr Abdelouahid Souala allows following entities to bill medicare on his behalf.
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423

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. Dr Abdelouahid Souala 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
Dr Abdelouahid Souala, MD
Po Box 19070,
Green Bay, WI 54307-9070

Ph: (920) 496-4700
Dr Abdelouahid Souala, MD
3113 Saemann Ave,
Sheboygan, WI 53081-1957

Ph: (920) 496-4700

Reviews and Comments


Surgery Doctors in Sheboygan, WI

Dr. Kenneth J. Lisberg, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2920 Superior Ave, Sheboygan, WI 53081
Phone: 920-452-4911    Fax: 920-458-3163
Dr. Badri N Ganju, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    Fax: 920-459-1155
Dr. Stephen J. Werner, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2920 Superior Ave, Sheboygan, WI 53081
Phone: 920-496-4700    Fax: 920-458-3163
Dr. William Ritt, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    
Dr. William P Chleborad, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    Fax: 920-459-1155
Nicholas John Draeger, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Union Ave, Sheboygan, WI 53081
Phone: 920-828-2700    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.