Pragya Virendrakumar Jain, - Medicare Pathology in Menomonee Falls, WI

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Pragya Virendrakumar Jain, is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Menomonee Falls, Wisconsin. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Pathology. She is a member of the group practice The Medical College Of Wisconsin Inc and her current practice location is W180n8085 Town Hall Rd, Menomonee Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 251-1000.

Pragya Virendrakumar Jain is licensed to practice in Wisconsin (license number 76837) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174150494.

Contact Information

Pragya Virendrakumar Jain,
W180n8085 Town Hall Rd,
Menomonee Falls, WI 53051-3518
(262) 251-1000
(262) 251-1000

Map and Direction




Physician's Profile

Full NamePragya Virendrakumar Jain
GenderFemale
SpecialityPathology
Experience12 Years
LocationW180n8085 Town Hall Rd, Menomonee Falls, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Pragya Virendrakumar Jain graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1174150494
  • Provider Enumeration Date: 03/25/2020
  • Last Update Date: 05/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5799220869
  • Enrollment ID: I20240712002139

Medical Identifiers

Medical identifiers for Pragya Virendrakumar Jain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174150494NPI-NPPES
1174150494MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 76837 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Memorial HospitalMenomonee falls, WIHospital
Froedtert Memorial Lutheran HospitalMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Medical College Of Wisconsin Inc26683843711902

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. Pragya Virendrakumar Jain allows following entities to bill medicare on her behalf.
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259

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. Pragya Virendrakumar Jain 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
Pragya Virendrakumar Jain,
W180n8085 Town Hall Rd,
Menomonee Falls, WI 53051-3518

Ph: (262) 251-1000		Pragya Virendrakumar Jain,
W180n8085 Town Hall Rd,
Menomonee Falls, WI 53051-3518

Ph: (262) 251-1000

Reviews and Comments


Pathology Doctors in Menomonee Falls, WI

Dr. Mary C Fernandez, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: Hospital Based @ Community Memorial, W180 N8085 Town Hall Road, Menomonee Falls, WI 53051
Phone: 414-805-3666    
Dr. Gerardo P Fronda, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: W180n8085 Town Hall Rd, Dept Of Pathology, Menomonee Falls, WI 53051
Phone: 262-257-3254    Fax: 262-257-5545
Dr. Juan Miguel Limjoco, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: W180n8085 Town Hall Rd Dept Of, Menomonee Falls, WI 53051
Phone: 262-251-1000    

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.