Dr Prachi Avinash Pophali, MD - Medicare Internal Medicine in Waukesha, WI

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Dr Prachi Avinash Pophali, MD is a medicare enrolled "Internal Medicine" physician in Waukesha, Wisconsin. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Apogee Medical Group Waukesha Sc and her current practice location is 725 American Ave, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 928-5400.

Dr Prachi Avinash Pophali is licensed to practice in Missouri (license number 2019032520) 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 1689110611.

Contact Information

Dr Prachi Avinash Pophali, MD
725 American Ave,
Waukesha, WI 53188-5099
(262) 928-5400
Not Available

Map and Direction




Physician's Profile

Full NameDr Prachi Avinash Pophali
GenderFemale
SpecialityInternal Medicine
Experience5 Years
Location725 American Ave, Waukesha, 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 Prachi Avinash Pophali graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1689110611
  • Provider Enumeration Date: 01/14/2017
  • Last Update Date: 09/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7214266030
  • Enrollment ID: I20221208002905

Medical Identifiers

Medical identifiers for Dr Prachi Avinash Pophali such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689110611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2019032520 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Waukesha Memorial HospitalWaukesha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Apogee Medical Group Waukesha Sc115367005440

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 Prachi Avinash Pophali allows following entities to bill medicare on her behalf.
Entity NameApogee Medical Group Waukesha Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528544608
PECOS PAC ID: 1153670054
Enrollment ID: O20180827002216

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 Prachi Avinash Pophali 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 Prachi Avinash Pophali, MD
240 Easton Ave, 4th Floor Cares, Rm 4014,
New Brunswick, NJ 08901-1723

Ph: (913) 548-3576		Dr Prachi Avinash Pophali, MD
725 American Ave,
Waukesha, WI 53188-5099

Ph: (262) 928-5400

Reviews and Comments


Internal Medicine Doctors in Waukesha, WI

Dr. Mark R Carey, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1260 Sentry Dr Ste 140, Waukesha, WI 53186
Phone: 262-524-1024    Fax: 262-524-8767
Dr. John T. Fish Iii, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: N9w29326 Thames Rd, Waukesha, WI 53188
Phone: 262-646-3030    
Dr. Ashish Verma, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 721 American Ave, Suite 409, Waukesha, WI 53188
Phone: 262-928-8610    Fax: 262-928-8615
Dr. Richard B Leech, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 721 American Ave, Suite 403, Waukesha, WI 53188
Phone: 262-549-1516    Fax: 262-549-0648
Brian W Lee, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: N16w24131 Riverwood Dr, Waukesha, WI 53188
Phone: 262-696-0808    Fax: 262-696-0965
Jonathan Kapke, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: N16w24131 Riverwood Dr, Waukesha, WI 53188
Phone: 262-696-5690    
Dr. Muhammad T Akbar, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: N16w24131 Riverwood Dr, Waukesha, WI 53188
Phone: 262-693-0808    Fax: 262-696-0965

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.