Dr Harathi Bhooma, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in O Fallon, Illinois. Her current practice location is
1 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 233-7880.
Dr Harathi Bhooma is licensed to practice in * (Not Available) (license number ) 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 1407424732.
Physician's Profile
Full Name | Dr Harathi Bhooma |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1 Saint Elizabeth Blvd Ste 4000, O Fallon, 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: 1407424732
- Provider Enumeration Date: 06/14/2021
- Last Update Date: 03/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 7517349384
- Enrollment ID: I20220727001072
Medical Identifiers
Medical identifiers for Dr Harathi Bhooma such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407424732 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2021017276 (Missouri) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Harathi Bhooma 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 Harathi Bhooma, MD 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 233-7880 | Dr Harathi Bhooma, MD 1 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1099 Ph: (618) 233-7880 |
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