Myisha Z Porter, MD in Champaign, IL

Myisha Z Porter, MD is a medicare enrolled "Pediatrics" physician in Champaign, Illinois. Her current practice location is 1801 Windsor Rd, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 366-1257.

Myisha Z Porter is licensed to practice in Illinois (license number 036-119469) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093975443.

Contact Information

	Myisha Z Porter, MD
	1801 Windsor Rd, Champaign, IL 61822-6217
	(217) 366-1257
	Not Available

Map and Direction

Physician's Profile

Full Name	Myisha Z Porter
Gender	Female
Speciality	Pediatrics
Location	1801 Windsor Rd, Champaign, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093975443
Provider Enumeration Date: 06/10/2008
Last Update Date: 03/20/2024

Medicare PECOS Information:

PECOS PAC ID: 9638245152
Enrollment ID: I20080908000380

Medical Identifiers

Medical identifiers for Myisha Z Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093975443	NPI	-	NPPES
1093975443 1	Medicaid	IL
279500	Other	IL	MEDICARE GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036-119469 (Illinois)	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. Myisha Z Porter allows following entities to bill medicare on her behalf.

Entity Name	Christie Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332

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. Myisha Z Porter 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
Myisha Z Porter, MD 101 W University Ave, Champaign, IL 61820-3981 Ph: (217) 366-6162	Myisha Z Porter, MD 1801 Windsor Rd, Champaign, IL 61822-6217 Ph: (217) 366-1257

Reviews and Comments

Pediatrics Doctors in Champaign, IL

Joseph J Keeley, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257 Fax: 217-366-6106
Haley E Eastin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 W. Curtis Rd., Champaign, IL 61822 Phone: 217-365-6202 Fax: 217-326-0188
Dr. Laura L Edwards, Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 W Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257
Dr. Susan G. Bolton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 W Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257 Fax: 217-366-6110
Mark S Musselman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Road, Pediatrics, Champaign, IL 61822 Phone: 217-365-6202 Fax: 217-326-1234
Prudence Hartwell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6202

Myisha Z Porter, MD - Medicare Pediatrics in Champaign, IL