Dr Irene Thomas-thevatheril, MD in Lisle, IL

Dr Irene Thomas-thevatheril, MD is a medicare enrolled "Family Medicine" physician in Lisle, Illinois. Her current practice location is 3080 Ogden Ave Ste 204, Lisle, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 734-0580.

Dr Irene Thomas-thevatheril is licensed to practice in Illinois (license number 36105417) 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 1336190529.

Contact Information

	Dr Irene Thomas-thevatheril, MD
	3080 Ogden Ave Ste 204, Lisle, IL 60532-1694
	(630) 734-0580
	(630) 734-0581

Map and Direction

Physician's Profile

Full Name	Dr Irene Thomas-thevatheril
Gender	Female
Speciality	Family Medicine
Location	3080 Ogden Ave Ste 204, Lisle, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336190529
Provider Enumeration Date: 05/13/2006
Last Update Date: 03/22/2021

Medicare PECOS Information:

PECOS PAC ID: 5092706754
Enrollment ID: I20040520001304

Medical Identifiers

Medical identifiers for Dr Irene Thomas-thevatheril such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336190529	NPI	-	NPPES
036105417	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	36105417 (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 Irene Thomas-thevatheril allows following entities to bill medicare on her behalf.

Entity Name	Cornerstone Family Health S.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912066788 PECOS PAC ID: 8527163658 Enrollment ID: O20070419000016

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 Irene Thomas-thevatheril 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 Irene Thomas-thevatheril, MD Po Box 534, Lisle, IL 60532-0534 Ph: (630) 734-0580	Dr Irene Thomas-thevatheril, MD 3080 Ogden Ave Ste 204, Lisle, IL 60532-1694 Ph: (630) 734-0580

Reviews and Comments

Family Medicine Doctors in Lisle, IL

Michael Robert Forbes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 Warrenville Rd Ste 310, Lisle, IL 60532 Phone: 630-548-0408 Fax: 630-578-3666
Danielle Marie Southerland, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1019 School St, Lisle, IL 60532 Phone: 630-315-8800 Fax: 630-315-8829
Dr. Zofia Cygan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5980 Route 53, Suite B, Lisle, IL 60532 Phone: 630-355-6040 Fax: 630-968-7716
Saud Siddiqui, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 430 Warrenville Rd Ste 300, Lisle, IL 60532 Phone: 630-364-7850
Dr. Mariam Alber Kirollos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 Ogden Ave Ste 300, Lisle, IL 60532 Phone: 331-702-2455 Fax: 331-229-8191
Marcel Chouinard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 Warrenville Rd Ste 310, Lisle, IL 60532 Phone: 630-548-0408 Fax: 630-578-3666

Dr Irene Thomas-thevatheril, MD - Medicare Family Medicine in Lisle, IL