Jacob Kalliath, DO in Olympia Fields, IL - Medicare Internal Medicine

Jacob Kalliath, DO is a medicare enrolled "Internal Medicine" physician in Olympia Fields, Illinois. He went to Nova Southeastern College Of Osteo Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Chelan County Public Hospital District No 2 and his current practice location is 20201 Crawford Ave, Olympia Fields, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 679-2160.

Jacob Kalliath is licensed to practice in Illinois (license number 12506386) 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 1134569395.

Contact Information

	Jacob Kalliath, DO
	20201 Crawford Ave, Olympia Fields, IL 60461
	(708) 679-2160
	(708) 679-2161

Map and Direction

Physician's Profile

Full Name	Jacob Kalliath
Gender	Male
Speciality	Internal Medicine
Experience	12 Years
Location	20201 Crawford Ave, Olympia Fields, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Kalliath attended and graduated from Nova Southeastern College Of Osteo Medicine in 2013

NPI Data:

NPI Number: 1134569395
Provider Enumeration Date: 07/02/2013
Last Update Date: 10/30/2020

Medicare PECOS Information:

PECOS PAC ID: 4486947421
Enrollment ID: I20170209000508

Medical Identifiers

Medical identifiers for Jacob Kalliath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134569395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	DR0057617 (Colorado)	Secondary
207R00000X	Internal Medicine	02005206A (Indiana)	Secondary
208M00000X	Hospitalist	036138730 (Illinois)	Secondary
207R00000X	Internal Medicine	12506386 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake Chelan Community Hospital	Chelan, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chelan County Public Hospital District No 2	9133027360	19

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. Jacob Kalliath allows following entities to bill medicare on his behalf.

Entity Name	Chelan County Public Hospital District No 2
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578568853 PECOS PAC ID: 9133027360 Enrollment ID: O20031226000201

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. Jacob Kalliath 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
Jacob Kalliath, DO 10624 S. Eastern Ave #263a, Henderson, NV 89052 Ph: (760) 684-0407	Jacob Kalliath, DO 20201 Crawford Ave, Olympia Fields, IL 60461 Ph: (708) 679-2160

Reviews and Comments

Internal Medicine Doctors in Olympia Fields, IL

Mr. Praneet Satyendra Mylavarapu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-855-7297 Fax: 708-503-3296
Chintan Shah, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000
Albara Said, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3302 Vollmer Rd, Olympia Fields, IL 60461 Phone: 708-898-0811 Fax: 708-898-1839
Anand Kumar Gupta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-679-2160 Fax: 708-679-2161
Dr. Matthew L Kamin, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 W 203rd St Ste 204, Olympia Fields, IL 60461 Phone: 708-679-2670 Fax: 708-503-3260
Dr. Edward Joseph Winter, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20945 Cambridge Ln, Olympia Fields, IL 60461 Phone: 708-747-6929 Fax: 708-747-6929
Dr. Savio G Manatt, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 20060 Governors Dr Ste 204, Olympia Fields, IL 60461 Phone: 708-283-8300 Fax: 708-283-9245

Jacob Kalliath, DO - Medicare Internal Medicine in Olympia Fields, IL