Dr Panna U Goswami, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Normal, Illinois. Her current practice location is
1604 Visa Dr Ste 1, Normal, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 846-4716.
Dr Panna U Goswami is licensed to practice in Illinois (license number 036061013) 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 1871587303.
Physician's Profile
| Full Name | Dr Panna U Goswami |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1604 Visa Dr Ste 1, Normal, 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: 1871587303
- Provider Enumeration Date: 09/12/2005
- Last Update Date: 06/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567476583
- Enrollment ID: I20060606000248
Medical Identifiers
Medical identifiers for Dr Panna U Goswami such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871587303 | NPI | - | NPPES |
| 036-061013 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | 036061013 (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 Panna U Goswami allows following entities to bill medicare on her behalf.
| Entity Name | Definitive Neurodiagnostics Llc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659490761 PECOS PAC ID: 7618061565 Enrollment ID: O20070921000799 |
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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 Panna U Goswami 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 Panna U Goswami, MD 1604 Visa Dr Ste 1, Normal, IL 61761-2195 Ph: (815) 762-2535 | Dr Panna U Goswami, MD 1604 Visa Dr Ste 1, Normal, IL 61761-2195 Ph: (815) 846-4716 |
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