Dr Basava Ancha, MD | |
5145 N California Ave, Icu, Chicago, IL 60625-3661 | |
(773) 878-8200 | |
Not Available |
Full Name | Dr Basava Ancha |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 35 Years |
Location | 5145 N California Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265488647 | NPI | - | NPPES |
K26778 | Other | PTAN | |
036085594 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036085594 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
Swedish Covenant Hospital | Chicago, IL | Hospital |
Presence Saint Francis Hospital | Evanston, IL | Hospital |
Alexian Brothers Medical Center 1 | Elk grove village, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presence Healthcare Services | 2860396769 | 317 |
Ksb Medical Group Inc | 7911890009 | 74 |
Entity Name | Swedish Covenant Management Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
Entity Name | Ksb Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Entity Name | Presence Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
Mailing Address | Practice Location Address |
---|---|
Dr Basava Ancha, MD 2740 W Foster Ave, Ll7, Chicago, IL 60625-3500 Ph: (773) 878-8200 | Dr Basava Ancha, MD 5145 N California Ave, Icu, Chicago, IL 60625-3661 Ph: (773) 878-8200 |
Dr. Sorin C Danciu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3134 N Clark St, Chicago, IL 60657 Phone: 773-880-9722 | |
Anoopa A. Koshy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 2200, Chicago, IL 60611 Phone: 312-926-6000 | |
William Edmond Gerardi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613 Phone: 773-244-3060 | |
Suparna Dutta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Van Buren St, Suite 500, Chicago, IL 60612 Phone: 312-942-4200 Fax: 312-942-3568 | |
Alexandra Dumitrescu, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Mitesh Mahesh Kabadi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 1159, Chicago, IL 60612 Phone: 312-942-5020 | |
Dr. Marta Batus, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612 Phone: 312-563-2487 Fax: 312-942-3192 |