Dr Chandni Desai, MD DDS is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" provider in Chicago, Illinois. Her current practice location is
5841 S Maryland Ave # 3083, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 834-7708.
Dr Chandni Desai is licensed to practice in Illinois (license number 125.079257) 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 1770838880.
Healthcare Provider's Profile
Full Name | Dr Chandni Desai |
---|
Gender | Female |
---|
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
---|
Location | 5841 S Maryland Ave # 3083, Chicago, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770838880
- Provider Enumeration Date: 07/16/2012
- Last Update Date: 05/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325381205
- Enrollment ID: I20190516000404
Medical Identifiers
Medical identifiers for Dr Chandni Desai such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770838880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0106X | Dentist - Oral And Maxillofacial Pathology | 08930 (Iowa) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 125.079257 (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. Dr Chandni Desai allows following entities to bill medicare on her behalf.
Entity Name | State University Of Iowa |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
---|
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. Dr Chandni Desai 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 |
Dr Chandni Desai, MD DDS 150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965 Ph: (773) 702-1150 | Dr Chandni Desai, MD DDS 5841 S Maryland Ave # 3083, Chicago, IL 60637-1443 Ph: (773) 834-7708 |
Reviews and Comments