James Alfred Pellegrini, MD - Medicare Diagnostic Radiology in Appleton, WI

James Alfred Pellegrini, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Appleton, Wisconsin. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Associates Of Appleton Sc, Thedacare, Incorporated and his current practice location is 424 E Wisconsin Ave, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 739-5642.

James Alfred Pellegrini is licensed to practice in Wisconsin (license number 49570-20) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457375016.

Contact Information

James Alfred Pellegrini, MD
424 E Wisconsin Ave,
Appleton, WI 54911-4860
(920) 739-5642
(920) 968-0259

Map and Direction




Physician's Profile

Full NameJames Alfred Pellegrini
GenderMale
SpecialityDiagnostic Radiology
Experience23 Years
Location424 E Wisconsin Ave, Appleton, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James Alfred Pellegrini attended and graduated from University Of Chicago, Pritzker School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1457375016
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 09/11/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9234130972
  • Enrollment ID: I20070714000110

Medical Identifiers

Medical identifiers for James Alfred Pellegrini such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457375016NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD426827 (Pennsylvania)Secondary
2085R0202XRadiology - Diagnostic Radiology 49570-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital
Thedacare Medical Center - ShawanoShawano, WIHospital
Berlin Memorial HospitalBerlin, WIHospital
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology Associates Of Appleton Sc600285186228
Thedacare, Incorporated1759294887488

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. James Alfred Pellegrini allows following entities to bill medicare on his behalf.
Entity NameThedacare, Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088
Entity NameRadiology Associates Of Appleton Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407941909
PECOS PAC ID: 6002851862
Enrollment ID: O20050622000606

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. James Alfred Pellegrini 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
James Alfred Pellegrini, MD
Po Box 117,
Appleton, WI 54912-0117

Ph: (920) 739-5642
James Alfred Pellegrini, MD
424 E Wisconsin Ave,
Appleton, WI 54911-4860

Ph: (920) 739-5642

Reviews and Comments


Radiology Doctors in Appleton, WI

Stephanus J Macrander, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913
Phone: 920-739-5642    Fax: 920-968-0259
Maher Salahi, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 E Capitol Dr, Appleton, WI 54911
Phone: 920-739-5642    
Kristin Knott,
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 5471 W Waterford Ln, Appleton, WI 54913
Phone: 920-731-7445    
Anna Moreland,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 424 E Pacific St, Appleton, WI 54911
Phone: 920-475-1201    
Stephen M. Bejvan, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913
Phone: 920-739-5642    Fax: 920-968-0259
Keyvan Gharabeighlou, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913
Phone: 920-739-5642    Fax: 920-968-0259
John E Sowin, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913
Phone: 920-739-5642    Fax: 920-968-0259

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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