Mr Peter Joseph Puthenveetil, MD is a medicare enrolled "Internal Medicine" physician in Park City, Illinois. He graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
401 Greenleaf St, Ste 1, Park City, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 662-0978.
Mr Peter Joseph Puthenveetil is licensed to practice in Illinois (license number 036108104) 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 1538268230.
Physician's Profile
| Full Name | Mr Peter Joseph Puthenveetil |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 25 Years |
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| Location | 401 Greenleaf St, Park City, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Peter Joseph Puthenveetil graduated from medical school in 2000
NPI Data:
- NPI Number: 1538268230
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 01/21/2011
Medicare PECOS Information:
- PECOS PAC ID: 5092613406
- Enrollment ID: I20031223000141
Medical Identifiers
Medical identifiers for Mr Peter Joseph Puthenveetil such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538268230 | NPI | - | NPPES |
| 036108104 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 036108104 (Illinois) | Primary |
Medical Facilities Affiliation
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. Mr Peter Joseph Puthenveetil allows following entities to bill medicare on his behalf.
| Entity Name | Greenleaf Medical Associates S.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447310479
PECOS PAC ID: 3870491277
Enrollment ID: O20031223000099 |
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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. Mr Peter Joseph Puthenveetil 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 |
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Mr Peter Joseph Puthenveetil, MD
401 Greenleaf St, Ste 1,
Park City, IL 60085-5744
Ph: (847) 662-0978 | Mr Peter Joseph Puthenveetil, MD
401 Greenleaf St, Ste 1,
Park City, IL 60085-5744
Ph: (847) 662-0978 |
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