Avani Patel, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hickory Hills, Illinois. Her current practice location is
8800 Active Ln, Hickory Hills, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 296-6655.
Avani Patel is licensed to practice in Illinois (license number 209.024411) 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 1962160572.
Provider's Profile
Full Name | Avani Patel |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 8800 Active Ln, Hickory Hills, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962160572
- Provider Enumeration Date: 12/01/2021
- Last Update Date: 12/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 1254714421
- Enrollment ID: I20220822000371
Medical Identifiers
Medical identifiers for Avani Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962160572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.024411 (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. Avani Patel allows following entities to bill medicare on her behalf.
Entity Name | Benchmark Psychiatric Services, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013118413 PECOS PAC ID: 0648379941 Enrollment ID: O20070627000644 |
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Entity Name | Brightside Medical Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230331000963 |
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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. Avani Patel 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 |
Avani Patel, NP 8800 Active Ln, Hickory Hills, IL 60457-1253 Ph: (708) 296-6655 | Avani Patel, NP 8800 Active Ln, Hickory Hills, IL 60457-1253 Ph: (708) 296-6655 |
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