Dr Hina Siddiqui, DO is a medicare enrolled "Hospitalist" physician in St Charles, Illinois. Her current practice location is
3755 E Main St Ste 190, St Charles, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 348-3100.
Dr Hina Siddiqui is licensed to practice in Illinois (license number 036148796) 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 1265895247.
Physician's Profile
Full Name | Dr Hina Siddiqui |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 3755 E Main St Ste 190, St Charles, 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: 1265895247
- Provider Enumeration Date: 03/29/2016
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931566924
- Enrollment ID: I20230607000181
Medical Identifiers
Medical identifiers for Dr Hina Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265895247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036.148796 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | 036148796 (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 Hina Siddiqui allows following entities to bill medicare on her behalf.
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
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Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
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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 Hina Siddiqui 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 Hina Siddiqui, DO 1860 Paysphere Cir, Chicago, IL 60674-3328 Ph: (630) 469-9200 | Dr Hina Siddiqui, DO 3755 E Main St Ste 190, St Charles, IL 60174-2463 Ph: (630) 348-3100 |
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