Shobha Nookala, MD in Peoria, IL - Medicare Psychiatry

Shobha Nookala, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Peoria, Illinois. She graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Methodist Medical Center Of Illinois and her current practice location is 900 Main St, Suite 400, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 672-3100.

Shobha Nookala is licensed to practice in Illinois (license number ) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1154336691.

Contact Information

	Shobha Nookala, MD
	900 Main St, Suite 400, Peoria, IL 61602-1005
	(309) 672-3100
	Not Available

Map and Direction

Physician's Profile

Full Name	Shobha Nookala
Gender	Female
Speciality	Psychiatry
Experience	35 Years
Location	900 Main St, Peoria, Illinois
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shobha Nookala graduated from medical school in 1989

NPI Data:

NPI Number: 1154336691
Provider Enumeration Date: 07/31/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3072500735
Enrollment ID: I20040427000105

Medical Identifiers

Medical identifiers for Shobha Nookala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154336691	NPI	-	NPPES
088318	Other	IL	HEALTH ALLIANCE
472292	Other	IL	HEALTHLINK
7215059	Other	IL	BCBS PPO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	(Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Methodist Medical Center Of Illinois	1355259714	270

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. Shobha Nookala allows following entities to bill medicare on her behalf.

Entity Name	Methodist Medical Center Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494

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. Shobha Nookala 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
Shobha Nookala, MD 5100 Reliable Pkwy, Chicago, IL 60686-0001 Ph: (309) 672-4809	Shobha Nookala, MD 900 Main St, Suite 400, Peoria, IL 61602-1005 Ph: (309) 672-3100

Reviews and Comments

Psychiatry & Neurology Doctors in Peoria, IL

Dr. Deepak S Nair, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Karen Margaret Kyle, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 900 Main St, Suite 580, Peoria, IL 61602 Phone: 309-637-4266 Fax: 309-637-9836
Dr. Andrew Wang, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 900 Main St Ste 580, Peoria, IL 61602 Phone: 309-637-4266 Fax: 309-637-9836
Dr. Douglas Juvinall, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 E Pennsylvania Ave, Peoria, IL 61603 Phone: 309-624-4000
Dr. Robert I(sa) Pfeffer, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3323 W Gloucester Ct, Peoria, IL 61615 Phone: 309-692-5462
Arun C Pinto, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 228 Ne Jefferson, Peoria, IL 61603 Phone: 309-671-8000 Fax: 309-671-4695
Dr. M. Teresa C. Fraser, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1701 W. Garden Street, Peoria, IL 61605 Phone: 309-680-7600 Fax: 309-680-7637

Shobha Nookala, MD - Medicare Psychiatry in Peoria, IL