Dr Rujuta Gore, in Peoria, IL - Medicare Ophthalmology

Dr Rujuta Gore, is a medicare enrolled "Ophthalmology" physician in Peoria, Illinois. Her current practice location is 4927 N Glen Park Place Rd, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 308-3500.

Dr Rujuta Gore is licensed to practice in Illinois (license number 036.161999) 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 1720546559.

Contact Information

	Dr Rujuta Gore,
	4927 N Glen Park Place Rd, Peoria, IL 61614-4676
	(309) 308-3500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Rujuta Gore
Gender	Female
Speciality	Ophthalmology
Location	4927 N Glen Park Place Rd, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720546559
Provider Enumeration Date: 03/11/2019
Last Update Date: 10/01/2022

Medicare PECOS Information:

PECOS PAC ID: 3476939729
Enrollment ID: I20221010003114

Medical Identifiers

Medical identifiers for Dr Rujuta Gore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720546559	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	036.161999 (Illinois)	Primary
207WX0110X	Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist	036.161999 (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 Rujuta Gore allows following entities to bill medicare on her behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

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 Rujuta Gore 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 Rujuta Gore, 4927 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 308-3500	Dr Rujuta Gore, 4927 N Glen Park Place Rd, Peoria, IL 61614-4676 Ph: (309) 308-3500

Reviews and Comments

Ophthalmology Doctors in Peoria, IL

Colin J Scott, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3869 Fax: 309-243-7918
Dr. Steven J Lichtenstein, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918
Osama Al Deyabat, MBBS Ophthalmology Medicare: Medicare Enrolled Practice Location: 4927 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-308-3500
Dr. John P Rhode, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918
Dr. Thomas M Wyman, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918
Dr. Parashos A Lagouros, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2433 Fax: 309-243-7918
Stephen J Eyler, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8921 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918

Dr Rujuta Gore, - Medicare Ophthalmology in Peoria, IL