Dr Gini Dutt, MD is a medicare enrolled "Internal Medicine" physician in Round Lake, Illinois. Her current practice location is
206 W Nippersink Rd, Round Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 546-8500.
Dr Gini Dutt is licensed to practice in Illinois (license number 125053538) 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 1316137656.
Physician's Profile
Full Name | Dr Gini Dutt |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 206 W Nippersink Rd, Round Lake, 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: 1316137656
- Provider Enumeration Date: 08/01/2007
- Last Update Date: 02/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 6901093566
- Enrollment ID: I20101208000397
Medical Identifiers
Medical identifiers for Dr Gini Dutt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316137656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 125053538 (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. Dr Gini Dutt allows following entities to bill medicare on her behalf.
Entity Name | Waukegan Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306937289 PECOS PAC ID: 4284631086 Enrollment ID: O20061108000240 |
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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. Dr Gini Dutt 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 Gini Dutt, MD 206 W Nippersink Rd, Round Lake, IL 60073-3511 Ph: (847) 546-8500 | Dr Gini Dutt, MD 206 W Nippersink Rd, Round Lake, IL 60073-3511 Ph: (847) 546-8500 |
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