Gautam Kukreja, MD in Davenport, IA

Gautam Kukreja, MD is a medicare enrolled "Pediatrics" physician in Davenport, Iowa. His current practice location is 3200 W Kimberly Rd, Davenport, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 421-0010.

Gautam Kukreja is licensed to practice in Iowa (license number 38806) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205151198.

Contact Information

	Gautam Kukreja, MD
	3200 W Kimberly Rd, Davenport, IA 52806-3059
	(563) 421-0010
	(563) 421-0009

Map and Direction

Physician's Profile

Full Name	Gautam Kukreja
Gender	Male
Speciality	Pediatrics
Location	3200 W Kimberly Rd, Davenport, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205151198
Provider Enumeration Date: 04/02/2010
Last Update Date: 04/28/2021

Medicare PECOS Information:

PECOS PAC ID: 8022141159
Enrollment ID: I20100727000124

Medical Identifiers

Medical identifiers for Gautam Kukreja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205151198	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	38806 (Iowa)	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. Gautam Kukreja allows following entities to bill medicare on his behalf.

Entity Name	Genesis Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20031113000044

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. Gautam Kukreja 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
Gautam Kukreja, MD 3200 W Kimberly Rd, Davenport, IA 52806-3059 Ph: (563) 421-0010	Gautam Kukreja, MD 3200 W Kimberly Rd, Davenport, IA 52806-3059 Ph: (563) 421-0010

Reviews and Comments

Pediatrics Doctors in Davenport, IA

Linda S Ozaki, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 W River Dr, Davenport, IA 52801 Phone: 563-336-3000 Fax: 563-336-3125
Nazir Y Kayali, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5510 Utica Ridge Rd 100, Davenport, IA 52807 Phone: 563-424-2025 Fax: 563-424-2042
Donna M Norman, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1351 W Central Park Ave, Ste 4100, Davenport, IA 52804 Phone: 563-383-2581 Fax: 563-328-5770
Majdi A Omar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807 Phone: 563-424-2025 Fax: 563-424-2042
Dr. Mai Shehata, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 W Kimberly Rd, Davenport, IA 52806 Phone: 563-421-0010 Fax: 563-421-0009
Dr. Husam Saba Elias Ghawi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 W River Dr, Davenport, IA 52801 Phone: 563-336-3000 Fax: 563-336-3014

Gautam Kukreja, MD - Medicare Pediatrics in Davenport, IA