Susiani Intan, MD - Medicare Ophthalmology in Milwaukee, WI

Susiani Intan, MD is a medicare enrolled "Ophthalmology - Neuro-ophthalmology" physician in Milwaukee, Wisconsin. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is 2801 W Kinnickinnic River Pkwy, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 385-1922.

Susiani Intan is licensed to practice in Wisconsin (license number 62499) 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 1114274529.

Contact Information

Susiani Intan, MD
2801 W Kinnickinnic River Pkwy,
Milwaukee, WI 53215-3669
(414) 385-1922
(414) 385-1988

Map and Direction




Physician's Profile

Full NameSusiani Intan
GenderFemale
SpecialityOphthalmology
Experience17 Years
Location2801 W Kinnickinnic River Pkwy, Milwaukee, 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:
  • Susiani Intan graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1114274529
  • Provider Enumeration Date: 08/06/2012
  • Last Update Date: 03/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709105190
  • Enrollment ID: I20211025001227

Medical Identifiers

Medical identifiers for Susiani Intan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114274529NPI-NPPES
G8966408OtherWAWVH PTAN
1114274529MedicaidWA
G8966407OtherWAWVH PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD60712039 (Washington)Secondary
2084N0400XPsychiatry & Neurology - Neurology MD60712039 (Washington)Secondary
2084N0400XPsychiatry & Neurology - Neurology A168657 (California)Secondary
2084N0400XPsychiatry & Neurology - Neurology 62449 (Wisconsin)Secondary
207WX0109XOphthalmology - Neuro-ophthalmology 62499 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora St Lukes Medical CenterMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583164

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. Susiani Intan allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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. Susiani Intan 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
Susiani Intan, MD
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843

Ph: () -
Susiani Intan, MD
2801 W Kinnickinnic River Pkwy,
Milwaukee, WI 53215-3669

Ph: (414) 385-1922

Reviews and Comments


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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.