Mala Thenappan, MD in Milwaukee, WI

Mala Thenappan, MD is a medicare enrolled "Surgery" physician in Milwaukee, Wisconsin. Her current practice location is 3070 N 51st St, Suite 100, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 875-9950.

Mala Thenappan is licensed to practice in Wisconsin (license number 36822-020) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861447427.

Contact Information

	Mala Thenappan, MD
	3070 N 51st St, Suite 100, Milwaukee, WI 53210-1645
	(414) 875-9950
	(414) 447-2575

Map and Direction

Physician's Profile

Full Name	Mala Thenappan
Gender	Female
Speciality	Surgery
Location	3070 N 51st St, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861447427
Provider Enumeration Date: 05/23/2006
Last Update Date: 04/01/2024

Medicare PECOS Information:

PECOS PAC ID: 3577556679
Enrollment ID: I20040405001661

Medical Identifiers

Medical identifiers for Mala Thenappan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861447427	NPI	-	NPPES
32430500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	36822-020 (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. Mala Thenappan allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164

Entity Name	Watertown Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114

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. Mala Thenappan 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
Mala Thenappan, MD 3070 N 51st St, Suite 100, Milwaukee, WI 53210-1645 Ph: (414) 875-9950	Mala Thenappan, MD 3070 N 51st St, Suite 100, Milwaukee, WI 53210-1645 Ph: (414) 875-9950

Reviews and Comments

Surgery Doctors in Milwaukee, WI

Jiro Kimura, Surgery Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6400 Fax: 414-955-0213
Dr. David L Larson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 8700 Watertown Plank Road, Wisconsin Athletic Club Bldg, Milwaukee, WI 53226 Phone: 414-805-3666
Dr. John J Aiken, MD Surgery Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226 Phone: 414-266-6550 Fax: 414-266-6579
Jeffrey Anderson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 215-707-3133
Dr. Jeremy Holzmacher Levin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-1700 Fax: 414-955-0072
Dr. Keith T Oldham, MD Surgery Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Surgery, Milwaukee, WI 53226 Phone: 414-266-6550 Fax: 414-266-6579
William R Deshur, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2801 W Kk River Pkwy, Suite 330, Milwaukee, WI 53215 Phone: 414-649-3240 Fax: 414-649-3244

Mala Thenappan, MD - Medicare Surgery in Milwaukee, WI