Dr Anita Bordoloi Mccarthy, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Waukegan, Illinois. Her current practice location is
2323 Grand Ave, Waukegan, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 666-3494.
Dr Anita Bordoloi Mccarthy is licensed to practice in Illinois (license number 036.132086) 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 1992025217.
Physician's Profile
| Full Name | Dr Anita Bordoloi Mccarthy |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 2323 Grand Ave, Waukegan, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992025217
- Provider Enumeration Date: 06/09/2010
- Last Update Date: 01/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 3375767353
- Enrollment ID: I20140612002006
Medical Identifiers
Medical identifiers for Dr Anita Bordoloi Mccarthy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992025217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | 036.132086 (Illinois) | Primary |
| 208M00000X | Hospitalist | 036132086 (Illinois) | Secondary |
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 Anita Bordoloi Mccarthy allows following entities to bill medicare on her behalf.
| Entity Name | Advocate Health And Hospitals Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
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| Entity Name | Erie Family Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
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| Entity Name | Endeavor Health Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
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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 Anita Bordoloi Mccarthy 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 Anita Bordoloi Mccarthy, MD 1701 W Superior St Fl 3, Chicago, IL 60622-5646 Ph: (312) 666-3494 | Dr Anita Bordoloi Mccarthy, MD 2323 Grand Ave, Waukegan, IL 60085-3312 Ph: (847) 666-3494 |
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