Dr Seema Garg, - Medicare Pediatrics in Charleston, IL

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Dr Seema Garg, is a medicare enrolled "Pediatrics" physician in Charleston, Illinois. Her current practice location is 116 W Buchanan Ave, Charleston, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 345-7700.

Dr Seema Garg is licensed to practice in Illinois (license number 036099042) 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 1356369235.

Contact Information

Dr Seema Garg,
116 W Buchanan Ave,
Charleston, IL 61920-2522
(217) 345-7700
(217) 345-7200

Map and Direction




Physician's Profile

Full NameDr Seema Garg
GenderFemale
SpecialityPediatrics
Location116 W Buchanan Ave, Charleston, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356369235
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 07/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890779094
  • Enrollment ID: I20181112000974

Medical Identifiers

Medical identifiers for Dr Seema Garg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356369235NPI-NPPES
200465710MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036099042 (Illinois)Primary
2080A0000XPediatrics - Adolescent Medicine 01058542 (Indiana)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 Seema Garg allows following entities to bill medicare on her behalf.
Entity NameRockford Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242886
PECOS PAC ID: 2567374036
Enrollment ID: O20031103000584
Entity NameSarah Bush Lincoln Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478
Entity NameCommunity Health Partnership Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932375169
PECOS PAC ID: 6901053511
Enrollment ID: O20130723000458

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 Seema Garg 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 AddressPractice Location Address
Dr Seema Garg,
Po Box 372,
Mattoon, IL 61938-0372

Ph: (217) 868-2812		Dr Seema Garg,
116 W Buchanan Ave,
Charleston, IL 61920-2522

Ph: (217) 345-7700

Reviews and Comments


Pediatrics Doctors in Charleston, IL

David W Stoltz, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 13700 Old State Rd, Charleston, IL 61920
Phone: 217-345-7700    
Dr. Sanjay K Garg, M.B.B.S
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 116 W Buchanan Ave, Charleston, IL 61920
Phone: 217-345-7700    Fax: 217-345-7200

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.