Gautam Phookan, MD - Medicare Neurological Surgery in Muncie, IN

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Gautam Phookan, MD is a medicare enrolled "Neurological Surgery" physician in Muncie, Indiana. His current practice location is 2525 W University Ave Ste 503, Muncie, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 288-0441.

Gautam Phookan is licensed to practice in Indiana (license number 01050143A) 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 1093750978.

Contact Information

Gautam Phookan, MD
2525 W University Ave Ste 503,
Muncie, IN 47303-3409
(765) 288-0441
(765) 282-7879

Map and Direction




Physician's Profile

Full NameGautam Phookan
GenderMale
SpecialityNeurological Surgery
Location2525 W University Ave Ste 503, Muncie, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093750978
  • Provider Enumeration Date: 06/17/2006
  • Last Update Date: 12/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9335264597
  • Enrollment ID: I20100913000428

Medical Identifiers

Medical identifiers for Gautam Phookan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093750978NPI-NPPES
061570015OtherINMEDICARE
M22404245OtherINMEDICARE
200206470AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 1050143 (Indiana)Secondary
207T00000XNeurological Surgery 01050143A (Indiana)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 Phookan allows following entities to bill medicare on his behalf.
Entity NameIndiana University Health Ball Memorial Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235455544
PECOS PAC ID: 9537072640
Enrollment ID: O20031110000505
Entity NameUniversity Family Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043275787
PECOS PAC ID: 7911992797
Enrollment ID: O20040420000393

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 Phookan 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
Gautam Phookan, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -		Gautam Phookan, MD
2525 W University Ave Ste 503,
Muncie, IN 47303-3409

Ph: (765) 288-0441

Reviews and Comments


Neurological Surgery Doctors in Muncie, IN


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.