Sakina Broachwala, MD in Peoria, IL - Medicare Internal Medicine

Sakina Broachwala, MD is a medicare enrolled "Internal Medicine" physician in Peoria, Illinois. Her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 655-2730.

Sakina Broachwala is licensed to practice in Illinois (license number 125.071508) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265953111.

Contact Information

	Sakina Broachwala, MD
	530 Ne Glen Oak Ave, Peoria, IL 61637-0001
	(309) 655-2730
	Not Available

Map and Direction

Physician's Profile

Full Name	Sakina Broachwala
Gender	Female
Speciality	Internal Medicine
Location	530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265953111
Provider Enumeration Date: 06/30/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4385918887
Enrollment ID: I20221102002188

Medical Identifiers

Medical identifiers for Sakina Broachwala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265953111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	125.071508 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	125.071508 (Illinois)	Secondary
207R00000X	Internal Medicine	125.071508 (Illinois)	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. Sakina Broachwala allows following entities to bill medicare on her behalf.

Entity Name	Pcp For Life Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497071955 PECOS PAC ID: 7911193412 Enrollment ID: O20101123000675

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. Sakina Broachwala 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
Sakina Broachwala, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2730	Sakina Broachwala, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2730

Reviews and Comments

Internal Medicine Doctors in Peoria, IL

Sandeep Banga, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732
Riaz Shah, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636 Phone: 309-672-5729
Dr. James Daniel Dewar, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257
Waqas Ali, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Dr. Sudhir Mungee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830
Dr. Nikesh Kavi Patel, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732
Dr. Bhanu T Paturi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5105 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-8383

Sakina Broachwala, MD - Medicare Internal Medicine in Peoria, IL