Jared Connolly, in Greenfield, WI

Jared Connolly, is a medicare enrolled "Pediatrics" physician in Greenfield, Wisconsin. His current practice location is 9000 W Sura Ln, Greenfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 246-6800.

Jared Connolly is licensed to practice in Wisconsin (license number 71078) 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 1790130474.

Contact Information

	Jared Connolly,
	9000 W Sura Ln, Greenfield, WI 53228
	(414) 246-6800
	(414) 246-6405

Map and Direction

Physician's Profile

Full Name	Jared Connolly
Gender	Male
Speciality	Pediatrics
Location	9000 W Sura Ln, Greenfield, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790130474
Provider Enumeration Date: 04/29/2016
Last Update Date: 01/09/2024

Medicare PECOS Information:

PECOS PAC ID: 6305171547
Enrollment ID: I20190710003533

Medical Identifiers

Medical identifiers for Jared Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790130474	NPI	-	NPPES
100089836	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	71078 (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. Jared Connolly allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Jared Connolly 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 Address	Practice Location Address
Jared Connolly, 9000 W Sura Ln, Greenfield, WI 53228-3477 Ph: (414) 246-6800	Jared Connolly, 9000 W Sura Ln, Greenfield, WI 53228 Ph: (414) 246-6800

Reviews and Comments

Pediatrics Doctors in Greenfield, WI

Lauren Heaberlin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244
Kevin Glatt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800
Robert E. Brueggeman, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4848 S 76th St, Suite 210, Greenfield, WI 53220 Phone: 414-282-7444 Fax: 414-282-8221
Dr. Anoop Mohamed Iqbal, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800
Zahra Nouri, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6400
Cheryl J. Dominski, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4848 S 76th St, Suite 210, Greenfield, WI 53220 Phone: 414-282-7444 Fax: 414-282-8221
Consuelo Aprecio Yee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4666 S 35th St, Greenfield, WI 53221 Phone: 414-281-0400 Fax: 414-281-0402

Jared Connolly, - Medicare Pediatrics in Greenfield, WI