Gautam Phookan, MD - Medicare Neurosurgery in Muncie, IN

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Gautam Phookan, MD is a medicare enrolled "Neurological Surgery" physician in Muncie, Indiana. He graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Indiana University Health Ball Memorial Physicians Inc and 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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

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Physician's Profile

Full NameGautam Phookan
GenderMale
SpecialityNeurosurgery
Experience41 Years
Location2525 W University Ave Ste 503, Muncie, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gautam Phookan graduated from medical school in 1983
  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

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University Health Ball Memorial HospitalMuncie, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indiana University Health Ball Memorial Physicians Inc9537072640297

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

Dr. Ippei Takagi, MD
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 2525 W University Ave Ste 401, Muncie, IN 47303
Phone: 765-288-0441    Fax: 765-282-7879

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.