Shaibal Mazumdar, MD in Menomonee Falls, WI - Medicare Internal Medicine

Shaibal Mazumdar, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Menomonee Falls, Wisconsin. His current practice location is N84w16889 Menomonee Ave, Menomonee Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 251-7500.

Shaibal Mazumdar is licensed to practice in Wisconsin (license number 42898) 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 1093749566.

Contact Information

	Shaibal Mazumdar, MD
	N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810
	(262) 251-7500
	(262) 251-7128

Map and Direction

Physician's Profile

Full Name	Shaibal Mazumdar
Gender	Male
Speciality	Internal Medicine - Gastroenterology
Location	N84w16889 Menomonee Ave, Menomonee Falls, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093749566
Provider Enumeration Date: 07/10/2006
Last Update Date: 11/23/2021

Medicare PECOS Information:

PECOS PAC ID: 2769406495
Enrollment ID: I20060120000802

Medical Identifiers

Medical identifiers for Shaibal Mazumdar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093749566	NPI	-	NPPES
34047200	Medicaid	WI
P00452798	Other	WI	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	42898 (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. Shaibal Mazumdar 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

Entity Name	Aurora Advanced Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694

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. Shaibal Mazumdar 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
Shaibal Mazumdar, MD 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 Ph: (414) 352-3100	Shaibal Mazumdar, MD N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 Ph: (262) 251-7500

Reviews and Comments

Internal Medicine Doctors in Menomonee Falls, WI

Melissa L Earnest, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-255-2500
Manan Shirishkumar Shah, MD Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-251-1000 Fax: 262-257-2707
Dr. Drew Richard Hietpas, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: W180n8000 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 414-405-7569
Dr. Manila Sodhi, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: W180n8000 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-255-2500
Dr. Taraneh Mehrani, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: W207n5530 Carters Crossing Cir, Menomonee Falls, WI 53051 Phone: 301-651-5802
Kiran Kashyap, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: W180n7950 Town Hall Rd, Menomonee Falls, WI 53051 Phone: 262-255-2500

Shaibal Mazumdar, MD - Medicare Internal Medicine in Menomonee Falls, WI