Ishan Dahal, MD in Davenport, IA - Medicare Pediatrics

Ishan Dahal, MD is a medicare enrolled "Pediatrics" physician in Davenport, Iowa. His current practice location is 5510 Utica Ridge Rd Ste 100, Davenport, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 424-2025.

Ishan Dahal is licensed to practice in Iowa (license number MD-50630) 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 1164927208.

Contact Information

	Ishan Dahal, MD
	5510 Utica Ridge Rd Ste 100, Davenport, IA 52807-2935
	(563) 424-2025
	Not Available

Map and Direction

Physician's Profile

Full Name	Ishan Dahal
Gender	Male
Speciality	Pediatrics
Location	5510 Utica Ridge Rd Ste 100, 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: 1164927208
Provider Enumeration Date: 03/29/2018
Last Update Date: 12/18/2024

Medicare PECOS Information:

PECOS PAC ID: 9638606171
Enrollment ID: I20241223002791

Medical Identifiers

Medical identifiers for Ishan Dahal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164927208	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036160503 (Illinois)	Secondary
208000000X	Pediatrics	MD-50630 (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. Ishan Dahal allows following entities to bill medicare on his behalf.

Entity Name	Bonaventure Medical Foundation Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588775647 PECOS PAC ID: 7517863178 Enrollment ID: O20031212000374

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. Ishan Dahal 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
Ishan Dahal, MD 3401 77th Street Ct, Moline, IL 61265-8058 Ph: () -	Ishan Dahal, MD 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807-2935 Ph: (563) 424-2025

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
Gautam Kukreja, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 W Kimberly Rd, Davenport, IA 52806 Phone: 563-421-0010 Fax: 563-421-0009
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

Ishan Dahal, MD - Medicare Pediatrics in Davenport, IA