Hetal Patel, MD - Medicare Otolaryngology in Peoria, IL

Hetal Patel, MD is a medicare enrolled "Otolaryngology" physician in Peoria, Illinois. She went to Saint Louis University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Peoria Ear Nose And Throat Group Sc and her current practice location is 7301 Knoxville Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 589-5900.

Hetal Patel is licensed to practice in Florida (license number ME128163) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851684617.

Contact Information

Hetal Patel, MD
7301 Knoxville Ave,
Peoria, IL 61614
(309) 589-5900
Not Available

Map and Direction




Physician's Profile

Full NameHetal Patel
GenderFemale
SpecialityOtolaryngology
Experience13 Years
Location7301 Knoxville Ave, Peoria, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Hetal Patel attended and graduated from Saint Louis University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1851684617
  • Provider Enumeration Date: 05/25/2011
  • Last Update Date: 10/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6305133448
  • Enrollment ID: I20171024002476

Medical Identifiers

Medical identifiers for Hetal Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851684617NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology ME128163 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Medical Center Of IllinoisPeoria, ILHospital
Saint Francis Medical CenterPeoria, ILHospital
Proctor HospitalPeoria, ILHospital
Pekin Memorial HospitalPekin, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peoria Ear Nose And Throat Group Sc923417987016

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. Hetal Patel allows following entities to bill medicare on her behalf.
Entity NamePeoria Ear Nose And Throat Group Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952380628
PECOS PAC ID: 9234179870
Enrollment ID: O20050503001234

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. Hetal Patel 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
Hetal Patel, MD
7301 Knoxville Ave,
Peoria, IL 61614

Ph: (309) 589-5900
Hetal Patel, MD
7301 Knoxville Ave,
Peoria, IL 61614

Ph: (309) 589-5900

Reviews and Comments


Otolaryngology Doctors in Peoria, IL

Dr. Ira David Uretzky, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 7301 N Knoxville Ave, Peoria Ear Nose & Throat, Peoria, IL 61614
Phone: 309-589-5900    Fax: 309-589-0448
Mr. Robert Thomas Parrish, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 8600 N State Rt 91, Ste 300, Peoria, IL 61615
Phone: 309-691-6616    Fax: 309-691-2943
Mr. James Curtis Hertenstein, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 8600 N State Rt 91, Ste 300, Peoria, IL 61615
Phone: 309-691-6616    Fax: 309-691-2943
James A Geraghty, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614
Phone: 309-589-5900    Fax: 309-683-4120
David Zaboli, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 844 W Trailcreek Dr, Peoria, IL 61614
Phone: 000-000-0000    
Harrison C Putman Iii, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614
Phone: 309-589-3233    Fax: 309-683-4120
Dr. James J Klemens, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614
Phone: 309-589-5900    Fax: 309-683-4120

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).

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