Dr Nancy S Ghanayem, MD - Medicare Pediatric Medicine in Milwaukee, WI

Dr Nancy S Ghanayem, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Milwaukee, Wisconsin. She went to Rush Medical College Of Rush University and graduated in 1993 and has 33 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice University Of Chicago and her current practice location is 9000 W Wisconsin Ave, Pediatric Critical Care, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 266-3360.

Dr Nancy S Ghanayem is licensed to practice in Wisconsin (license number 35570) 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 1538110390.

Contact Information

Dr Nancy S Ghanayem, MD
9000 W Wisconsin Ave, Pediatric Critical Care,
Milwaukee, WI 53226-4874
(414) 266-3360
(414) 266-3563

Map and Direction




Physician's Profile

Full NameDr Nancy S Ghanayem
GenderFemale
SpecialityPediatric Medicine
Experience33 Years
Location9000 W Wisconsin Ave, Milwaukee, 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:
  • Dr Nancy S Ghanayem attended and graduated from Rush Medical College Of Rush University in 1993
  NPI Data:
  • NPI Number: 1538110390
  • Provider Enumeration Date: 05/15/2006
  • Last Update Date: 06/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7416015870
  • Enrollment ID: I20200912000051

Medical Identifiers

Medical identifiers for Dr Nancy S Ghanayem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538110390NPI-NPPES
000014724UOtherHUMANA
1538110390MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0203XPediatrics - Pediatric Critical Care Medicine 036-141674 (Illinois)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 35570 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Chicago77198994261671

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 Nancy S Ghanayem allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Chicago
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821048786
PECOS PAC ID: 7719899426
Enrollment ID: O20031103000094
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameThe University Of Chicago Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033218128
PECOS PAC ID: 7618880766
Enrollment ID: O20031106000203

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 Nancy S Ghanayem 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 Nancy S Ghanayem, MD
9000 W Wisconsin Ave, Pediatric Critical Care,
Milwaukee, WI 53226-4874

Ph: (414) 266-3360
Dr Nancy S Ghanayem, MD
9000 W Wisconsin Ave, Pediatric Critical Care,
Milwaukee, WI 53226-4874

Ph: (414) 266-3360

Reviews and Comments


Pediatrics Doctors in Milwaukee, WI

Sarah Marie Rumler, DO
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-955-4170    Fax: 414-955-6543
Alison Coren,
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-266-6750    Fax: 414-266-6749
Brandon Palmer, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-337-7050    Fax: 414-337-7020
Aidan James Reid, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-266-6800    Fax: 414-337-7068
Austin Cummings,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-955-8296    Fax: 414-955-0175
Mary Claire Potter,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 999 N 92nd St Ste 730, Milwaukee, WI 53226
Phone: 414-266-6800    
Dr. Swati Kumar, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9000 W Wisconsin Ave, Pediatric Infectious Diseases, Milwaukee, WI 53226
Phone: 414-337-7070    Fax: 414-337-7093

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.