Dr Ketan C Vyas, MD is a medicare enrolled "Internal Medicine" physician in Grayville, Illinois. His current practice location is
610 N Court St, Grayville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 375-7101.
Dr Ketan C Vyas is licensed to practice in Illinois (license number 036091476) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346216215.
Physician's Profile
Full Name | Dr Ketan C Vyas |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 610 N Court St, Grayville, 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: 1346216215
- Provider Enumeration Date: 02/28/2006
- Last Update Date: 04/22/2010
Medicare PECOS Information:
- PECOS PAC ID: 9537125786
- Enrollment ID: I20050215001011
Medical Identifiers
Medical identifiers for Dr Ketan C Vyas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346216215 | NPI | - | NPPES |
0009707064 | Other | IL | BLUE CROSS |
110136426 | Other | | RAILROAD MEDICARE |
036091476 | Medicaid | IL | |
282819 | Other | | HEALTHLINK |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 036091476 (Illinois) | Primary |
207R00000X | Internal Medicine | 01043808A (Indiana) | Secondary |
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 Ketan C Vyas allows following entities to bill medicare on his behalf.
Entity Name | Wabash General Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295834208 PECOS PAC ID: 8022908185 Enrollment ID: O20040319001265 |
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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 Ketan C Vyas 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 Ketan C Vyas, MD 610 N Court St, Grayville, IL 62844 Ph: (618) 375-7101 | Dr Ketan C Vyas, MD 610 N Court St, Grayville, IL 62844 Ph: (618) 375-7101 |
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