Dr Sanjolee Ansari, MD in Evanston, IL - Medicare Internal Medicine

Dr Sanjolee Ansari, MD is a medicare enrolled "Internal Medicine" physician in Evanston, Illinois. Her current practice location is 355 Ridge Ave, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 355-1197.

Dr Sanjolee Ansari is licensed to practice in Illinois (license number 036116137) 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 1861423808.

Contact Information

	Dr Sanjolee Ansari, MD
	355 Ridge Ave, Evanston, IL 60202-3328
	(708) 355-1197
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Sanjolee Ansari
Gender	Female
Speciality	Internal Medicine
Location	355 Ridge Ave, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861423808
Provider Enumeration Date: 07/06/2006
Last Update Date: 04/18/2019

Medicare PECOS Information:

PECOS PAC ID: 9739192345
Enrollment ID: I20060727000367

Medical Identifiers

Medical identifiers for Dr Sanjolee Ansari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861423808	NPI	-	NPPES
036116137	Other	IL	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036116137 (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 Sanjolee Ansari allows following entities to bill medicare on her behalf.

Entity Name	Cook Physician Services, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487416376 PECOS PAC ID: 4082053434 Enrollment ID: O20240417003107

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 Sanjolee Ansari 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 Sanjolee Ansari, MD 6855 Latrobe Ave, Skokie, IL 60077-3414 Ph: (708) 355-1197	Dr Sanjolee Ansari, MD 355 Ridge Ave, Evanston, IL 60202-3328 Ph: (708) 355-1197

Reviews and Comments

Internal Medicine Doctors in Evanston, IL

James Francis Kelly, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Andie Kwon, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2700 Fax: 847-570-2822
Adela Kola, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Matthew R. Sherwood, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Division Of Internal Medicine Rm 4324, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5128
Dipika Oberoi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2700
Neal N. Dodia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3171
Kifah Hussain, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-1485

Dr Sanjolee Ansari, MD - Medicare Internal Medicine in Evanston, IL