Sanjeeb Khatua, MD in Plainfield, IL - Medicare Family Medicine

Sanjeeb Khatua, MD is a medicare enrolled "Family Medicine" physician in Plainfield, Illinois. His current practice location is 16519 S Rte 59, Plainfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 646-5020.

Sanjeeb Khatua is licensed to practice in Illinois (license number 036123917) 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 1770777658.

Contact Information

	Sanjeeb Khatua, MD
	16519 S Rte 59, Plainfield, IL 60586-2606
	(630) 646-5020
	(630) 646-5025

Map and Direction

Physician's Profile

Full Name	Sanjeeb Khatua
Gender	Male
Speciality	Family Medicine
Location	16519 S Rte 59, Plainfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770777658
Provider Enumeration Date: 09/04/2007
Last Update Date: 06/05/2013

Medicare PECOS Information:

PECOS PAC ID: 5799822482
Enrollment ID: I20091029000266

Medical Identifiers

Medical identifiers for Sanjeeb Khatua such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770777658	NPI	-	NPPES
17707776582	Medicaid	IL
9933040	Other	IL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036123917 (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. Sanjeeb Khatua allows following entities to bill medicare on his behalf.

Entity Name	Edward Health Ventures
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616

Entity Name	Edward Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013969013 PECOS PAC ID: 0042108110 Enrollment ID: O20040309001279

Entity Name	Endeavor Health Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Sanjeeb Khatua 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
Sanjeeb Khatua, MD 16519 S Rte 59, Plainfield, IL 60586-2606 Ph: (630) 646-5020	Sanjeeb Khatua, MD 16519 S Rte 59, Plainfield, IL 60586-2606 Ph: (630) 646-5020

Reviews and Comments

Family Medicine Doctors in Plainfield, IL

Teresa Pecherek-rogers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24012 W Renwick Rd, Suite 14, Plainfield, IL 60544 Phone: 815-436-9393 Fax: 815-436-1654
Bob William, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16519 S Rte 59, Plainfield, IL 60586 Phone: 630-646-5020 Fax: 630-646-5025
Shalini Kumar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 16519 S Route 59, Plainfield, IL 60586 Phone: 630-646-5020 Fax: 630-646-5025
Vipuli E Jayesinghe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16615 S Rte 59, Plainfield, IL 60586 Phone: 815-436-7303
Dr. Mohin Tissa Samaraweera, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 24016 W Main Street, Plainfield, IL 60544 Phone: 815-436-7303 Fax: 815-609-7980
Dr. Vinayak Dongre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24600 W 127th St Ste 100, Plainfield, IL 60585 Phone: 815-731-9000 Fax: 815-731-9001
Ryan Fitzgerald, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16615 S Route 59, Plainfield, IL 60586 Phone: 815-609-6300

Sanjeeb Khatua, MD - Medicare Family Medicine in Plainfield, IL