Khalid I Chaudhry, MD - Medicare Psychiatry in Fond Du Lac, WI

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Khalid I Chaudhry, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fond Du Lac, Wisconsin. He graduated from medical school in 1991 and has 34 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Fond Du Lac County, Sbh-green Bay Llc and his current practice location is 459 E 1st St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 929-3500.

Khalid I Chaudhry is licensed to practice in Wisconsin (license number 66397) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1104921766.

Contact Information

Khalid I Chaudhry, MD
459 E 1st St,
Fond Du Lac, WI 54935-4505
(920) 929-3500
(920) 929-3129

Map and Direction




Physician's Profile

Full NameKhalid I Chaudhry
GenderMale
SpecialityPsychiatry
Experience34 Years
Location459 E 1st St, Fond Du Lac, Wisconsin
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Khalid I Chaudhry graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1104921766
  • Provider Enumeration Date: 09/14/2006
  • Last Update Date: 11/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9234021445
  • Enrollment ID: I20161229001269

Medical Identifiers

Medical identifiers for Khalid I Chaudhry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104921766NPI-NPPES
02460979MedicaidNY
100063716MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 66397 (Wisconsin)Primary
2084P0800XPsychiatry & Neurology - Psychiatry 228976 (New York)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fond Du Lac County266837624511
Sbh-green Bay Llc75172481987

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. Khalid I Chaudhry allows following entities to bill medicare on his behalf.
Entity NameFond Du Lac County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053458935
PECOS PAC ID: 2668376245
Enrollment ID: O20031125000279
Entity NameSbh-green Bay Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922556778
PECOS PAC ID: 7517248198
Enrollment ID: O20180103001595
Entity NameSbh-madison Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023884871
PECOS PAC ID: 7113327834
Enrollment ID: O20240506003881

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. Khalid I Chaudhry 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
Khalid I Chaudhry, MD
1351 Ontario Rd,
Green Bay, WI 54311-8302

Ph: (920) 328-1220		Khalid I Chaudhry, MD
459 E 1st St,
Fond Du Lac, WI 54935-4505

Ph: (920) 929-3500

Reviews and Comments


Psychiatry & Neurology Doctors in Fond Du Lac, WI

Michael J Keyes, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-4200    Fax: 920-926-8885
Dr. Steven A Sandstrom, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937
Phone: 920-907-7000    Fax: 920-907-7110
Jagadeeswara Rao Musunuru, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 459 E 1st St, Fond Du Lac, WI 54935
Phone: 920-929-3502    
Shelley D Piasecki, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 751 County Road K, Fond Du Lac, WI 54937
Phone: 920-929-6716    
Dr. Jennifer I Giesige, D.O
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-929-2300    
Cheryl R Tapp, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-4200    Fax: 920-926-8885

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.