ANDREW WILLIAM PEREZ
NPI 1760943302
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

NPI Status: Active since March 27, 2019

Contact Information

9200 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
Phone: (414) 805-3414

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  • Individual
  • Male
  • Years of Experience 7
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANDREW PEREZ

This page provides the complete NPI Profile along with additional information for Andrew Perez, a primary care provider established in Milwaukee, Wisconsin with a medical specialization in Student In An Organized Health Care Education/training Program and more than 7 years of experience. He graduated from Vanderbilt University School Of Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1760943302 assigned on March 2019. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1760943302
Provider Name
ANDREW WILLIAM PEREZ
Gender
Male
Entity Type
Individual
Location Address
9200 W WISCONSIN AVE MILWAUKEE, WI 53226
Location Phone
(414) 805-3414
Mailing Address
9200 W WISCONSIN AVE MILWAUKEE, WI 53226
Mailing Phone
(414) 805-3414
Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
03-27-2019
Last Update Date
03-27-2019
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A primary care provider (PCP) like Andrew Perez 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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Insurance Plans Accepted

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

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

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

Medicare Participation & PECOS Enrollment Status

Andrew Perez 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.

Andrew Perez 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: 9537594890

    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: I20250722000083

    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

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Andrew Perez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
DEACONESS MEDICAL CENTERW 800 FIFTH AVENUE
SPOKANE, WA 99210
(509) 473-5800Acute Care Hospitals
MULTICARE VALLEY HOSPITAL12606 EAST MISSION AVENUE
SPOKANE, WA 99216
(509) 924-6650Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760943302, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 1 + 8 + 4 + 6 + 3 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1760943302.

Other Providers at the Same Location


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

Pharmacist
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Genetic Counselor, MS
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE, PATIENT FINANCIAL SERVICES
MILWAUKEE, WI 53226
Genetic Counselor, MS
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Internal Medicine (Nephrology)
9200 W WISCONSIN AVE, DIVISION OF NEPHROLOGY
MILWAUKEE, WI 53226
Internal Medicine (Rheumatology)
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - EAST
MILWAUKEE, WI 53226
Obstetrics & Gynecology
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - EAST
MILWAUKEE, WI 53226
Physician Assistant
9200 W WISCONSIN AVE, HOSPITAL BASED @ FROEDTERT HOSP.
MILWAUKEE, WI 53226
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - WEST
MILWAUKEE, WI 53226
Anesthesiology
9200 W WISCONSIN AVE, HOSPITAL BASED @ FROEDTERT HOSP.
MILWAUKEE, WI 53226
Physician Assistant (Medical)
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - EAST
MILWAUKEE, WI 53226
Radiology (Diagnostic Radiology)
9200 W WISCONSIN AVE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Neurological Surgery
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - WEST
MILWAUKEE, WI 53226
Family Medicine
9200 W WISCONSIN AVE, FAMILY MEDICINE PRIMARY CARE 4TH FL
MILWAUKEE, WI 53226
Emergency Medicine
9200 W WISCONSIN AVE, HOSPITAL BASED @ FROEDTERT HOSP.
MILWAUKEE, WI 53226
Internal Medicine (Cardiovascular Disease)
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - EAST
MILWAUKEE, WI 53226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760943302, enumerated as an "individual" on March 27, 2019.

The provider is located at 9200 W WISCONSIN AVE MILWAUKEE, WI 53226 and the phone number is (414) 805-3414.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.

Andrew Perez is affiliated with: DEACONESS MEDICAL CENTER and MULTICARE VALLEY HOSPITAL.