Chithra Poongkunran, MD is a medicare enrolled "Specialist/technologist - Athletic Trainer" physician in Chicago, Illinois. Her current practice location is
840 S Wood St Ste 1222, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 996-1795.
Chithra Poongkunran is licensed to practice in Illinois (license number 036.147787) 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 1477782548.
Physician's Profile
| Full Name | Chithra Poongkunran |
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| Gender | Female |
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| Speciality | Specialist/technologist - Athletic Trainer |
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| Location | 840 S Wood St Ste 1222, Chicago, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477782548
- Provider Enumeration Date: 07/09/2009
- Last Update Date: 10/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880840909
- Enrollment ID: I20120806000587
Medical Identifiers
Medical identifiers for Chithra Poongkunran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477782548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | U5206 (Texas) | Secondary |
| 207R00000X | Internal Medicine | 036.147787 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 46337 (Arizona) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | U5206 (Texas) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | U5206 (Texas) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | 036.147787 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 57-015873 (Ohio) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 036.147787 (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. Chithra Poongkunran allows following entities to bill medicare on her behalf.
| Entity Name | Banner -- University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508809427
PECOS PAC ID: 7719899871
Enrollment ID: O20031105000694 |
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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. Chithra Poongkunran 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 |
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Chithra Poongkunran, MD
11511 Shadow Creek Pkwy,
Pearland, TX 77584-7298
Ph: (713) 442-0000 | Chithra Poongkunran, MD
840 S Wood St Ste 1222,
Chicago, IL 60612-4325
Ph: (312) 996-1795 |
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