Dr Kousiki Patra, MD - Medicare Pediatrics in Chicago, IL

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Dr Kousiki Patra, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Chicago, Illinois. Her current practice location is 1653 W Congress Pkwy, Murdock 622, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 942-6640.

Dr Kousiki Patra is licensed to practice in Ohio (license number 35077993) 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 1285623785.

Contact Information

Dr Kousiki Patra, MD
1653 W Congress Pkwy, Murdock 622,
Chicago, IL 60612-3833
(312) 942-6640
(312) 942-4370

Map and Direction




Physician's Profile

Full NameDr Kousiki Patra
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location1653 W Congress Pkwy, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285623785
  • Provider Enumeration Date: 10/18/2005
  • Last Update Date: 06/13/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9537154984
  • Enrollment ID: I20110115000044

Medical Identifiers

Medical identifiers for Dr Kousiki Patra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285623785NPI-NPPES
2317193MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 35077993 (Ohio)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 35077993 (Ohio)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 Kousiki Patra allows following entities to bill medicare on her behalf.
Entity NameRush University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093819542
PECOS PAC ID: 5496658874
Enrollment ID: O20040202000228
Entity NameRush University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871560961
PECOS PAC ID: 5496744005
Enrollment ID: O20040510000386

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 Kousiki Patra 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 AddressPractice Location Address
Dr Kousiki Patra, MD
1653 W Congress Pkwy, Murdock 622,
Chicago, IL 60612-3833

Ph: (312) 942-6640		Dr Kousiki Patra, MD
1653 W Congress Pkwy, Murdock 622,
Chicago, IL 60612-3833

Ph: (312) 942-6640

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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