Dr Anil Gupta, MD is a medicare enrolled "Emergency Medicine" physician in Columbia, Illinois. His current practice location is
421 South Main Street, Columbia, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 281-7151.
Dr Anil Gupta is licensed to practice in Missouri (license number 104738) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912961558.
Physician's Profile
| Full Name | Dr Anil Gupta |
|---|
| Gender | Male |
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| Speciality | |
|---|
| Experience | Years |
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| Location | 421 South Main Street, Columbia, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Anil Gupta attended and graduated from in
NPI Data:
- NPI Number: 1912961558
- Provider Enumeration Date: 04/12/2006
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Anil Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912961558 | NPI | - | NPPES |
| 036086275 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 036086275 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 01070862A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 104738 (Missouri) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | 104738 (Missouri) | Secondary |
| 208D00000X | General Practice | 036086275 (Illinois) | Secondary |
| 208D00000X | General Practice | 104738 (Missouri) | Secondary |
| 208D00000X | General Practice | 01070862A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 104738 (Missouri) | Primary |
| 207P00000X | Emergency Medicine | 01070862A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 036086275 (Illinois) | Secondary |
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 Anil Gupta 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 Anil Gupta, MD
Po Box 522, 421 South Main Street,
Columbia, IL 62236
Ph: (618) 281-7151 | Dr Anil Gupta, MD
421 South Main Street,
Columbia, IL 62236
Ph: (618) 281-7151 |
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