Aruna K Mittapalli, MD is a medicare enrolled "Emergency Medicine" physician in Woodridge, Illinois. Her current practice location is
10529 Rothenburg Rd, Woodridge, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 783-0054.
Aruna K Mittapalli is licensed to practice in Illinois (license number 036-084908) 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 1588637839.
Physician's Profile
Full Name | Aruna K Mittapalli |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 10529 Rothenburg Rd, Woodridge, 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: 1588637839
- Provider Enumeration Date: 02/08/2006
- Last Update Date: 02/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 2365483203
- Enrollment ID: I20050520000226
Medical Identifiers
Medical identifiers for Aruna K Mittapalli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588637839 | NPI | - | NPPES |
036084908 | Medicaid | IL | |
3932056 | Other | IL | BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 036-084908 (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. Aruna K Mittapalli allows following entities to bill medicare on her behalf.
Entity Name | Southern Illinois Medical Services Nfp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
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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. Aruna K Mittapalli 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 |
Aruna K Mittapalli, MD 10529 Rothenburg Rd, Woodridge, IL 60517-4917 Ph: (630) 783-0054 | Aruna K Mittapalli, MD 10529 Rothenburg Rd, Woodridge, IL 60517-4917 Ph: (630) 783-0054 |
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