Poorva Talapatra, MED, LCPC in Carbondale, IL

Poorva Talapatra, MED, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Carbondale, Illinois. Her current practice location is 400 S Lewis Ln, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 519-9900.

Poorva Talapatra is licensed to practice in Illinois (license number 178005097) 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 1013210194.

Contact Information

	Poorva Talapatra, MED, LCPC
	400 S Lewis Ln, Carbondale, IL 62901-3547
	(618) 519-9900
	(618) 529-1384

Map and Direction

Healthcare Provider's Profile

Full Name	Poorva Talapatra
Gender	Female
Speciality	Counselor - Mental Health
Location	400 S Lewis Ln, Carbondale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013210194
Provider Enumeration Date: 12/13/2010
Last Update Date: 08/25/2015

Medicare PECOS Information:

PECOS PAC ID: 1355784794
Enrollment ID: I20240213001574

Medical Identifiers

Medical identifiers for Poorva Talapatra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013210194	NPI	-	NPPES
370966854024	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	178005097 (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. Poorva Talapatra allows following entities to bill medicare on her behalf.

Entity Name	Shawnee Health Service And Development Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454

Entity Name	Ahuja Bariatric & Beyond
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053043885 PECOS PAC ID: 6901289347 Enrollment ID: O20220817001520

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. Poorva Talapatra 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
Poorva Talapatra, MED, LCPC Po Box 577, 109 California St, Carterville, IL 62918-0577 Ph: (618) 985-8221	Poorva Talapatra, MED, LCPC 400 S Lewis Ln, Carbondale, IL 62901-3547 Ph: (618) 519-9900

Reviews and Comments

Counselor in Carbondale, IL

Mr. Dave Scott Evans, MS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 East College, Carbondale, IL 62901 Phone: 618-457-6703 Fax: 618-529-4563
Emily Margaret Macdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 629-278-2696
Ms. Melissa Cauthen, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1016 S Emerald Ln, Carbondale, IL 62901 Phone: 618-559-6346
Levi Wampler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-615-9754
Anna Hughes, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-6703 Fax: 618-549-3734
Lindsay Miller, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 101 S Wall St, Carbondale, IL 62901 Phone: 618-519-9200 Fax: 618-519-9404

Poorva Talapatra, MED, LCPC - Medicare Counselor in Carbondale, IL