Grishma V Gandhi, is a medicare enrolled "Nurse Practitioner - Family" in Beach Park, Illinois. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carter Clinic, P A and her current practice location is
13100 W Yorkshire Ln, Beach Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 877-9003.
Grishma V Gandhi is licensed to practice in Illinois (license number 209019753) 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 1073140513.
Provider's Profile
| Full Name | Grishma V Gandhi |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 13100 W Yorkshire Ln, Beach Park, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Grishma V Gandhi graduated from nursing school in 2019
NPI Data:
- NPI Number: 1073140513
- Provider Enumeration Date: 03/25/2020
- Last Update Date: 03/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 4486073319
- Enrollment ID: I20260107001463
Medical Identifiers
Medical identifiers for Grishma V Gandhi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073140513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209019753 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Carter Clinic, P A | 1254429921 | 13 |
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. Grishma V Gandhi allows following entities to bill medicare on her behalf.
| Entity Name | Carter Clinic, P a |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912959834
PECOS PAC ID: 1254429921
Enrollment ID: O20091216000437 |
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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. Grishma V Gandhi 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 |
|---|
Grishma V Gandhi,
13100 W Yorkshire Ln,
Beach Park, IL 60083-3020
Ph: (630) 877-9003 | Grishma V Gandhi,
13100 W Yorkshire Ln,
Beach Park, IL 60083-3020
Ph: (630) 877-9003 |
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