Dr Abhish Koirala, MD - Medicare Internal Medicine in Herrin, IL

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Dr Abhish Koirala, MD is a medicare enrolled "Hospitalist" physician in Herrin, Illinois. He graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hospital Medicine Services Of Tn Llc and his current practice location is 201 S 14th St, Herrin, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 942-2171.

Dr Abhish Koirala is licensed to practice in Illinois (license number 036141729) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134474471.

Contact Information

Dr Abhish Koirala, MD
201 S 14th St,
Herrin, IL 62948-3631
(618) 942-2171
(618) 988-6166

Map and Direction




Physician's Profile

Full NameDr Abhish Koirala
GenderMale
SpecialityInternal Medicine
Experience16 Years
Location201 S 14th St, Herrin, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Abhish Koirala graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1134474471
  • Provider Enumeration Date: 07/23/2012
  • Last Update Date: 06/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507186913
  • Enrollment ID: I20230609000405

Medical Identifiers

Medical identifiers for Dr Abhish Koirala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134474471NPI-NPPES
214881OtherILGROUP PTAN NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 252423 (Massachusetts)Secondary
208M00000XHospitalist 036141729 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tristar Skyline Medical CenterNashville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospital Medicine Services Of Tn Llc2365807633256

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 Abhish Koirala allows following entities to bill medicare on his behalf.
Entity NameMaury Regional Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205886264
PECOS PAC ID: 7911810742
Enrollment ID: O20040227000252
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameHospital Medicine Services Of Tn Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982301065
PECOS PAC ID: 2365807633
Enrollment ID: O20230421000177
Entity NameEmergency Medicine Services Of Tn, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720785884
PECOS PAC ID: 3173989837
Enrollment ID: O20230523000265

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 Abhish Koirala 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 Abhish Koirala, MD
Po Box 3988,
Carbondale, IL 62902-3988

Ph: (618) 942-2171		Dr Abhish Koirala, MD
201 S 14th St,
Herrin, IL 62948-3631

Ph: (618) 942-2171

Reviews and Comments


Hospitalist Doctors in Herrin, IL

Dr. Varathaseelan Muthulingam, MD
Hospitalist
Medicare: Not Enrolled in Medicare
Practice Location: 201 S 14th St, Herrin, IL 62948
Phone: 618-942-2171    Fax: 618-351-4919

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.