Puja Gurung, MD - Medicare Sleep Medicine in Alton, IL

Puja Gurung, MD is a medicare enrolled "Family Medicine - Sleep Medicine" physician in Alton, Illinois. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Sleep Medicine. She is a member of the group practice Fairview Heights Medical Group Sc, Fairview Heights Medical Group Sc and her current practice location is 4 Memorial Dr Ste 230, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 433-6616.

Puja Gurung is licensed to practice in Illinois (license number 036131486) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063727832.

Contact Information

Puja Gurung, MD
4 Memorial Dr Ste 230,
Alton, IL 62002-6704
(618) 433-6616
Not Available

Map and Direction




Physician's Profile

Full NamePuja Gurung
GenderFemale
SpecialitySleep Medicine
Experience19 Years
Location4 Memorial Dr Ste 230, Alton, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Puja Gurung graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1063727832
  • Provider Enumeration Date: 08/17/2010
  • Last Update Date: 03/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355580648
  • Enrollment ID: I20130618000142

Medical Identifiers

Medical identifiers for Puja Gurung such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063727832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS1201XFamily Medicine - Sleep Medicine 2013010523 (Missouri)Secondary
207QS1201XFamily Medicine - Sleep Medicine 036131486 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alton Memorial HospitalAlton, ILHospital
Christian Hospital NortheastSaint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Heights Medical Group Sc6800784083342
Fairview Heights Medical Group Sc6800784083342

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. Puja Gurung allows following entities to bill medicare on her behalf.
Entity NameFairview Heights Medical Group Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650

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. Puja Gurung 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 AddressPractice Location Address
Puja Gurung, MD
4 Memorial Dr Ste 230,
Alton, IL 62002-6704

Ph: (618) 433-6616
Puja Gurung, MD
4 Memorial Dr Ste 230,
Alton, IL 62002-6704

Ph: (618) 433-6616

Reviews and Comments


Family Medicine Doctors in Alton, IL

Dr. Juletta Avagyan, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7240    Fax: 618-463-7216
Dr. Bryan Everett Steele, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-5905    Fax: 618-463-5935
Manju Ramchandani, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: #2 Saint Anthony's Way, Suite 205, Alton, IL 62002
Phone: 618-465-8019    Fax: 618-463-5004
Mr. William P Robinson Jr., MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 815 E 5th Street, Suite 209, Alton, IL 62002
Phone: 618-463-0561    Fax: 618-465-9281
Dr. Anne Ugabi, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7311    
Dr. Danny Sarwat Shehata, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7311    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.