Dr Forum Purnendu Dave, OD - Medicare Optometrist in Des Plaines, IL

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Dr Forum Purnendu Dave, OD is a medicare enrolled "Optometrist" provider in Des Plaines, Illinois. She went to Illinois College Of Optometry At Chicago and graduated in 2015 and has 9 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Sam Salituro Inc and her current practice location is 1070 E Oakton St, Des Plaines, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 294-6722.

Dr Forum Purnendu Dave is licensed to practice in Illinois (license number 046.010886) 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 1043695901.

Contact Information

Dr Forum Purnendu Dave, OD
1070 E Oakton St,
Des Plaines, IL 60018-2033
(847) 294-6722
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Forum Purnendu Dave
GenderFemale
SpecialityOptometry
Experience9 Years
Location1070 E Oakton St, Des Plaines, Illinois
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:
  • Dr Forum Purnendu Dave attended and graduated from Illinois College Of Optometry At Chicago in 2015
  NPI Data:
  • NPI Number: 1043695901
  • Provider Enumeration Date: 07/21/2015
  • Last Update Date: 11/08/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1355638818
  • Enrollment ID: I20160927001307

Medical Identifiers

Medical identifiers for Dr Forum Purnendu Dave such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043695901NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 046.010886 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sam Salituro Inc48807522782

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. Dr Forum Purnendu Dave allows following entities to bill medicare on her behalf.
Provider NameSam Salituro Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1154572923
PECOS PAC ID: 4880752278
Enrollment ID: O20081029000655

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. Dr Forum Purnendu Dave 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
Dr Forum Purnendu Dave, OD
1070 E Oakton St,
Des Plaines, IL 60018-2033

Ph: (847) 294-6722		Dr Forum Purnendu Dave, OD
1070 E Oakton St,
Des Plaines, IL 60018-2033

Ph: (847) 294-6722

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.