Dr Masoud Ganji, MD - Medicare Pathology in Mequon, WI

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Dr Masoud Ganji, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Mequon, Wisconsin. He graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Pathology. He is a member of the group practice North Shore Pathologists Sc and his current practice location is 13111 N Port Washington Rd, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 243-7300.

Dr Masoud Ganji is licensed to practice in Wisconsin (license number 46629) 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 1861595910.

Contact Information

Dr Masoud Ganji, MD
13111 N Port Washington Rd,
Mequon, WI 53097-2416
(262) 243-7300
(414) 961-3421

Map and Direction




Physician's Profile

Full NameDr Masoud Ganji
GenderMale
SpecialityPathology
Experience30 Years
Location13111 N Port Washington Rd, Mequon, 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:
  • Dr Masoud Ganji graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1861595910
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 11/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2466412408
  • Enrollment ID: I20041014000541

Medical Identifiers

Medical identifiers for Dr Masoud Ganji such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861595910NPI-NPPES
34613900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 46629 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Columbia St Mary's Hospital MilwaukeeMilwaukee, WIHospital
Ascension Se Wisconsin Hospital - St Joseph CampusMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore Pathologists Sc711398656315

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 Masoud Ganji allows following entities to bill medicare on his behalf.
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057
Entity NameNorth Shore Pathologists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184703829
PECOS PAC ID: 7113986563
Enrollment ID: O20041011000120

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 Masoud Ganji 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 Masoud Ganji, MD
2323 N Lake Dr,
Milwaukee, WI 53211-4508

Ph: (414) 961-5362		Dr Masoud Ganji, MD
13111 N Port Washington Rd,
Mequon, WI 53097-2416

Ph: (262) 243-7300

Reviews and Comments


Pathology Doctors in Mequon, WI

Susan J Riegg, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 13111 N Port Washington Road, Mequon, WI 53097
Phone: 262-243-7471    Fax: 262-243-7407
James A Puerner, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 13111 N Port Washington Road, Mequon, WI 53097
Phone: 262-243-7423    Fax: 262-243-7407

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.