Dr Anil Gupta, MD is a medicare enrolled "Family Medicine" physician in Columbia, Illinois. He went to Saint Louis University School Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Dent County Health Center and his current practice location is
421 South Main Street, Columbia, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 281-7151.
Dr Anil Gupta is licensed to practice in Illinois (license number 036086275) 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 1912961558.
Physician's Profile
| Full Name | Dr Anil Gupta |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 35 Years |
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| Location | 421 South Main Street, Columbia, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Anil Gupta attended and graduated from Saint Louis University School Of Medicine in 1990
NPI Data:
- NPI Number: 1912961558
- Provider Enumeration Date: 04/12/2006
- Last Update Date: 04/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335032028
- Enrollment ID: I20040205001080
Medical Identifiers
Medical identifiers for Dr Anil Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912961558 | NPI | - | NPPES |
| 036086275 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 104738 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 036086275 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 104738 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 01070862A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01070862A (Indiana) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | 104738 (Missouri) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | 036086275 (Illinois) | Secondary |
| 208D00000X | General Practice | 036086275 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 036086275 (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. Dr Anil Gupta allows following entities to bill medicare on his behalf.
| Entity Name | Anil Gupta M D |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699870931
PECOS PAC ID: 5597653642
Enrollment ID: O20040309001133 |
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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 Anil Gupta 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 |
|---|
Dr Anil Gupta, MD
Po Box 522, 421 South Main Street,
Columbia, IL 62236
Ph: (618) 281-7151 | Dr Anil Gupta, MD
421 South Main Street,
Columbia, IL 62236
Ph: (618) 281-7151 |
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