Aysha Rafaquat, MD in Springfield, IL

Aysha Rafaquat, MD is a medicare enrolled "Pediatrics" physician in Springfield, Illinois. Her current practice location is 415 N 9th St, Suite 4w64, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 545-8000.

Aysha Rafaquat is licensed to practice in Illinois (license number 036141431) 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 1528409034.

Contact Information

	Aysha Rafaquat, MD
	415 N 9th St, Suite 4w64, Springfield, IL 62702-5303
	(217) 545-8000
	(217) 757-6519

Map and Direction

Physician's Profile

Full Name	Aysha Rafaquat
Gender	Female
Speciality	Pediatrics
Location	415 N 9th St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528409034
Provider Enumeration Date: 07/12/2013
Last Update Date: 10/13/2016

Medicare PECOS Information:

PECOS PAC ID: 2567750391
Enrollment ID: I20161011003130

Medical Identifiers

Medical identifiers for Aysha Rafaquat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528409034	NPI	-	NPPES
036141431	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301102965 (Michigan)	Secondary
208000000X	Pediatrics	036141431 (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. Aysha Rafaquat allows following entities to bill medicare on her behalf.

Entity Name	Siu Physicians & Surgeons Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769

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. Aysha Rafaquat 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
Aysha Rafaquat, MD 415 N 9th St, Po Box 19635, Springfield, IL 62794-9635 Ph: (217) 545-8000	Aysha Rafaquat, MD 415 N 9th St, Suite 4w64, Springfield, IL 62702-5303 Ph: (217) 545-8000

Reviews and Comments

Pediatrics Doctors in Springfield, IL

Stephanie E. Wojtowicz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424
Claudine Gillison, Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541
Gopinathan Gangadharan Nambiar, Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-391-0392
Dr. Susan M. Soler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424
Dr. Kimberly Nichole Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 415 N 9th St, Suite 4w16, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-6654
John Padanilam, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N 9th St # 4a, Springfield, IL 62702 Phone: 217-545-8000
Misty M. Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541

Aysha Rafaquat, MD - Medicare Pediatrics in Springfield, IL