JULIE ANN R BINDAS PA-C
NPI 1134156987
Physician Assistant in Milwaukee, WI

NPI Status: Active since June 27, 2006

Contact Information

10625 W NORTH AVE
102
MILWAUKEE, WI
ZIP 53226
Phone: (414) 877-5350
Fax: (414) 877-5360

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  • Individual
  • Female
  • Years of Experience 32
  • Physician Assistant
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JULIE ANN BINDAS

This page provides the complete NPI Profile along with additional information for Julie Ann Bindas, a primary care provider established in Milwaukee, Wisconsin with a medical specialization in Physician Assistant and more than 32 years of experience. The healthcare provider is registered in the NPI registry with number 1134156987 assigned on June 2006. The practitioner's primary taxonomy code is 363A00000X with license number 891-023 (WI). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1134156987
Provider Name
JULIE ANN R BINDAS PA-C
Other Name
JULIE ANN R KENNISON PA-C
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
10625 W NORTH AVE 102 MILWAUKEE, WI 53226
Location Phone
(414) 877-5350
Location Fax
(414) 877-5360
Mailing Address
10625 W NORTH AVE 102 MILWAUKEE, WI 53226
Mailing Phone
(414) 877-5350
Mailing Fax
(414) 877-5360
Medical School Name
OTHER
Graduation Year
1994
Is Sole Proprietor?
No
Enumeration Date
06-27-2006
Last Update Date
04-10-2017
Code Navigator

A primary care provider (PCP) like Julie Ann Bindas sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
891-023
License State
WI
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value (Rx Copay, No Referrals) - HMO
  • UHC Bronze Value HSA (No Referrals) - HMO
  • UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
970008766OTHER (01)WIMEDICARE RAILROAD
S84639MEDICARE UPIN (02) 
42982800MEDICAID (05)WI 
970008767OTHER (01)WIMEDICARE RAILROAD

Medicare Participation & PECOS Enrollment Status

Julie Ann Bindas is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Julie Ann Bindas is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8628083672

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060213000060

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 11 times for 11 patients

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 29 times for 29 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 40 times for 40 patients

Emergency department visit for problem of moderate severity

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

This service was performed 12 times for 12 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.73 for a new patient copayment and $16.84 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 53226 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.92
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $20.73
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.37
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $16.84
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for JULIE ANN R BINDAS PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134156987
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21642512916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 5 + 1 + 2 + 9 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1134156987 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. SHERYL L MOSS M.D.

Pediatrics

10625 W NORTH AVE
SUITE 222
WAUWATOSA, WI
ZIP 53226

(414) 453-7173

DR. RAVI GUPTA M.D.

Family Medicine

10625 W NORTH AVE
WAUWATOSA, WI
ZIP 53226

(414) 475-5800

SHIRLEY Y GODIWALLA M.D,S.C

Urology

10625 W NORTH AVE
SUITE 201
WAUWATOSA, WI
ZIP 53226

(414) 727-1117

DR. KEITH R PAUKNER D.D.S.

Dentist

(General Practice)

10625 W NORTH AVE
SUITE 329
WAUWATOSA, WI
ZIP 53226

(414) 259-1531

DR. THOMAS P FALSETTI DDS

Dentist

(General Practice)

10625 W NORTH AVE
SUITE 300
MILWAUKEE, WI
ZIP 53226

(414) 456-1091

AZAM M. BHATTI M.D., MPH

Family Medicine

10625 W NORTH AVE
WAUWATOSA, WI
ZIP 53226

(414) 443-9990

DR. ANNA J CAMPBELL PH.D.

Psychologist

10625 W NORTH AVE
SUITE 208
WAUWATOSA, WI
ZIP 53226

(414) 476-2699

DR. NORA VILLEMUR YANCHAR PH.D.

Psychologist

(Clinical)

10625 W NORTH AVE
SUITE 208
WAUWATOSA, WI
ZIP 53226

(414) 476-2699

MS. JILL RUTH TURCOTT-NIELSEN M.S.S.W., L.C.S.W.

Social Worker

(Clinical)

10625 W NORTH AVE
SUITE 225
MILWAUKEE, WI
ZIP 53226

(414) 258-2600

DR. KAYE PRICE LAUD PH.D.

Psychologist

(Clinical)

10625 W NORTH AVE
SUITE 208
WAUWATOSA, WI
ZIP 53226

(414) 476-2699

HUCK DENTAL LLC

Dentist

(General Practice)

10625 W NORTH AVE
SUITE 320
WAUWATOSA, WI
ZIP 53226

(414) 774-5020

COMPASSIONATE DOCTORS INC

General Practice

10625 W NORTH AVE
#230
WAUWATOSA, WI
ZIP 53226

(414) 475-5800

MRS. BRENDA J SHERMAN C.AC.

Acupuncturist

10625 W NORTH AVE
SUITE 223
WAUWATOSA, WI
ZIP 53226

(414) 476-9008

JILL R. TURCOTT-NIELSEN, LLC

Social Worker

(Clinical)

10625 W NORTH AVE
SUITE 225
WAUWATOSA, WI
ZIP 53226

(414) 258-2600

TRUE HEALTH CHIROPRACTIC AND WELLNESS

Chiropractor

10625 W NORTH AVE
SUITE #230
WAUWATOSA, WI
ZIP 53226

(414) 755-5833

ROBIN SADLER D.C.

Chiropractor

10625 W NORTH AVE
SUITE 230
WAUWATOSA, WI
ZIP 53226

(414) 755-5833

LEI LEI MD

Emergency Medicine

10625 W NORTH AVE
SUITE 102
WAUWATOSA, WI
ZIP 53226

(414) 877-5351

MOLLIE RITCHIE

Nurse Practitioner

(Family)

10625 W NORTH AVE
WAUWATOSA, WI
ZIP 53226

(414) 877-5350

DR. MATTHEW MOKROHISKY MD

Emergency Medicine

10625 W NORTH AVE
SUITE 102
WAUWATOSA, WI
ZIP 53226

(414) 877-5351

HUGHES ACUPUNCTURE CLINIC, INC

Acupuncturist

10625 W NORTH AVE
LL3
WAUWATOSA, WI
ZIP 53226

(262) 607-0900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134156987, enumerated as an "individual" on June 27, 2006.

The provider is located at 10625 W NORTH AVE 102 MILWAUKEE, WI 53226 and the phone number is (414) 877-5350.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Common Ground Healthcare Cooperative, Molina. Please consult your insurance carrier or call the provider to verify.