Jagjeevan Rao Gandra, MD in Michigan City, IN

Jagjeevan Rao Gandra, MD is a medicare enrolled "Pediatrics" physician in Michigan City, Indiana. His current practice location is 3723 Franklin St, Michigan City, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 874-3313.

Jagjeevan Rao Gandra is licensed to practice in Indiana (license number 01045405A) 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 1205821014.

Contact Information

	Jagjeevan Rao Gandra, MD
	3723 Franklin St, Michigan City, IN 46360-7310
	(219) 874-3313
	(219) 878-2330

Map and Direction

Physician's Profile

Full Name	Jagjeevan Rao Gandra
Gender	Male
Speciality	Pediatrics
Location	3723 Franklin St, Michigan City, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205821014
Provider Enumeration Date: 09/19/2005
Last Update Date: 04/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2567450356
Enrollment ID: I20040501000426

Medical Identifiers

Medical identifiers for Jagjeevan Rao Gandra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205821014	NPI	-	NPPES
200096690	Medicaid	IN
000000371639	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01045405A (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. Jagjeevan Rao Gandra allows following entities to bill medicare on his behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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. Jagjeevan Rao Gandra 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
Jagjeevan Rao Gandra, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Jagjeevan Rao Gandra, MD 3723 Franklin St, Michigan City, IN 46360-7310 Ph: (219) 874-3313

Reviews and Comments

Pediatrics Doctors in Michigan City, IN

Dr. Courtney Elizabeth Glos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Alfred St, Michigan City, IN 46360 Phone: 219-872-6200 Fax: 219-879-2915
Yoo Paik, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-878-5036 Fax: 219-873-2931
Gregoria B Landicho, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1501 Wabash, Suite #202, Michigan City, IN 46360 Phone: 219-877-1965 Fax: 219-877-1066
Ms. Chantal L Walker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1225 E Coolspring Ave Ste 1c, Michigan City, IN 46360 Phone: 219-861-5719 Fax: 219-861-5774
Mark Jacobi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-878-5037 Fax: 219-873-2931
Razia Begum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Franklin St, Michigan City, IN 46360 Phone: 219-872-6200 Fax: 219-879-2915

Jagjeevan Rao Gandra, MD - Medicare Pediatrics in Michigan City, IN