Dr Prachi Baliram Raut, MBBS - Medicare Pathology in Madison, WI

Dr Prachi Baliram Raut, MBBS is a medicare enrolled "Pathology - Clinical Pathology/laboratory Medicine" physician in Madison, Wisconsin. She graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Peoria Tazewell Pathology Group, S.c., Peoria Tazewell Pathology Group, S.c. and her current practice location is 303 Eagle Hts, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (514) 920-7406.

Dr Prachi Baliram Raut is licensed to practice in Wisconsin (license number 75363) 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 1104113653.

Contact Information

Dr Prachi Baliram Raut, MBBS
303 Eagle Hts,
Madison, WI 53705-1767
(514) 920-7406
Not Available

Map and Direction




Physician's Profile

Full NameDr Prachi Baliram Raut
GenderFemale
SpecialityPathology
Experience22 Years
Location303 Eagle Hts, Madison, 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 Baliram Raut graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1104113653
  • Provider Enumeration Date: 07/06/2011
  • Last Update Date: 09/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0446554752
  • Enrollment ID: I20241014004543

Medical Identifiers

Medical identifiers for Dr Prachi Baliram Raut such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104113653NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 58661 (Minnesota)Secondary
207ZP0105XPathology - Clinical Pathology/laboratory Medicine 75363 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Medical Center Of IllinoisPeoria, ILHospital
Pekin Memorial HospitalPekin, ILHospital
Trinity - Rock IslandRock island, ILHospital
Memorial HospitalCarthage, ILHospital
Proctor HospitalPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peoria Tazewell Pathology Group, S.c.125422871117
Peoria Tazewell Pathology Group, S.c.125422871117

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 Baliram Raut allows following entities to bill medicare on her behalf.
Entity NamePeoria Tazewell Pathology Group, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578597738
PECOS PAC ID: 1254228711
Enrollment ID: O20180713001888

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 Baliram Raut 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 Baliram Raut, MBBS
303 Eagle Hts,
Madison, WI 53705-1767

Ph: (608) 829-5485
Dr Prachi Baliram Raut, MBBS
303 Eagle Hts,
Madison, WI 53705-1767

Ph: (514) 920-7406

Reviews and Comments


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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).

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.