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PATRICIA A.Y. TELLEZ-GIRON MD
NPI 1487619599
Family Medicine in Madison, WI

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
1102 S PARK ST STE 100, MADISON, WI 53715(608) 263-3111(608) 263-6663 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Patricia A.y. Tellez-giron Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA A.Y. TELLEZ-GIRON MD (NPI 1487619599) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (40386) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1487619599
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePATRICIA A.Y. TELLEZ-GIRONCredential: MD
Location Address1102 S PARK ST STE 100Madison, WI 53715-1708
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 263-3111
Fax(608) 263-6663
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateApril 20, 2006
Last NPPES UpdateJanuary 6, 2021
NPPES CertifiedJanuary 6, 2021
✔ NPI 1487619599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 40386
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1102 S PARK ST STE 100, Madison, WI 53715
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patricia A.y. Tellez-giron Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941331912
PECOS Enrollment IDI20100708000664
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Patricia Tellez-giron reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Community Health Centers, Inc.
Same address
Federally Qualified Health Center (FQHC)
1102 S PARK ST
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 124 clinicians in this Medicare group
NPI 1669654307 (608) 443-5500
University Of Wisconsin Medical Foundation, Inc
7.1 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DIANA NICOLE CARVAJAL MD
Family Medicine
1102 S PARK ST STE 100
MADISON, WI 53715
Dane County (608) 263-3111
LAUREL D RABSON MD
Family Medicine
1102 S PARK ST STE 100
MADISON, WI 53715
Dane County (608) 263-3111
LEE T DRESANG MD
Family Medicine
1102 S PARK ST STE 100
MADISON, WI 53715
Dane County (608) 263-3111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Tellez-giron's NPI number?

The NPI number for Patricia Tellez-giron is 1487619599. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Patricia Tellez-giron located?

Patricia Tellez-giron practices at 1102 S Park St Ste 100, Madison, WI 53715. The listed phone number is (608) 263-3111.

What is Patricia Tellez-giron's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Patricia Tellez-giron enrolled in Medicare?

Yes. Patricia Tellez-giron is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Patricia Tellez-giron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Tellez-giron reassigns Medicare benefits to 2 organizations: Access Community Health Centers, Inc. (Madison, WI) and University Of Wisconsin Medical Foundation, Inc (Middleton, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Tellez-giron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Tellez-giron accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Patricia Tellez-giron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Patricia Tellez-giron affiliated with any hospitals?

According to CMS data, Patricia Tellez-giron is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Patricia Tellez-giron was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.