Amita Ghosh, MD in Moline, IL - Medicare Pediatrics

Amita Ghosh, MD is a medicare enrolled "Pediatrics" physician in Moline, Illinois. Her current practice location is 1106 4th Ave, Moline, Illinois. You can reach out to her office (for appointments etc.) via phone at (563) 336-3000.

Amita Ghosh is licensed to practice in Illinois (license number 036145083) 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 1376925289.

Contact Information

	Amita Ghosh, MD
	1106 4th Ave, Moline, IL 61265
	(563) 336-3000
	(563) 327-2045

Map and Direction

Physician's Profile

Full Name	Amita Ghosh
Gender	Female
Speciality	Pediatrics
Location	1106 4th Ave, Moline, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376925289
Provider Enumeration Date: 06/27/2015
Last Update Date: 07/24/2018

Medicare PECOS Information:

PECOS PAC ID: 6002112422
Enrollment ID: I20180809004437

Medical Identifiers

Medical identifiers for Amita Ghosh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376925289	NPI	-	NPPES
036145083	Medicaid	IL
1376925289	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036145083 (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. Amita Ghosh allows following entities to bill medicare on her behalf.

Entity Name	Community Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598759292 PECOS PAC ID: 9830008895 Enrollment ID: O20031205000597

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. Amita Ghosh 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
Amita Ghosh, MD 500 W River Dr, Davenport, IA 52801-1014 Ph: (563) 336-3000	Amita Ghosh, MD 1106 4th Ave, Moline, IL 61265 Ph: (563) 336-3000

Reviews and Comments

Pediatrics Doctors in Moline, IL

Dr. Haile Neptune, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 Avenue Of The Cities, Moline, IL 61265 Phone: 309-797-5437 Fax: 309-797-3140
Dr. Michael James Schott, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 106 19th Ave, Ste. 103, Moline, IL 61265 Phone: 309-779-7050 Fax: 309-779-7055
Sachin S Nunnewar, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1106 4th Ave, Moline, IL 61265 Phone: 563-327-2000 Fax: 563-327-2045
Dr. Anders J Brodd, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 Avenue Of The Cities, Moline, IL 61265 Phone: 309-797-5437 Fax: 309-797-3140
David G Bunker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4376 7th St, Moline, IL 61265 Phone: 309-762-0777 Fax: 309-762-0077
Dr. Thomas Jerome Herr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1625 Avenue Of The Cities, Moline, IL 61265 Phone: 309-797-5437 Fax: 309-797-3140

Amita Ghosh, MD - Medicare Pediatrics in Moline, IL