Maithilee A Jani, DENTIST is a medicare enrolled "Dentist" provider in Gillespie, Illinois. Her current practice location is
109 E Maple St, Gillespie, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 839-1526.
Maithilee A Jani is licensed to practice in Illinois (license number 019.033451) 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 1174289128.
Healthcare Provider's Profile
Full Name | Maithilee A Jani |
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Gender | Female |
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Speciality | Dentist |
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Location | 109 E Maple St, Gillespie, 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: 1174289128
- Provider Enumeration Date: 11/15/2021
- Last Update Date: 11/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 1254721962
- Enrollment ID: I20211210001173
Medical Identifiers
Medical identifiers for Maithilee A Jani such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174289128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 019.033451 (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. Maithilee A Jani allows following entities to bill medicare on her behalf.
Entity Name | Macoupin County Public Health Department |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538444906 PECOS PAC ID: 1557377850 Enrollment ID: O20060223000446 |
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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. Maithilee A Jani 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 |
Maithilee A Jani, DENTIST 1516 Seven Pines Rd Apt H, Springfield, IL 62704-6615 Ph: (657) 272-1074 | Maithilee A Jani, DENTIST 109 E Maple St, Gillespie, IL 62033-1473 Ph: (217) 839-1526 |
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