Dr Pichet Santilukka, MD is a medicare enrolled "Internal Medicine" physician in Red Bud, Illinois. His current practice location is
415 W S Fourth Street, Suite A, Red Bud, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 282-3883.
Dr Pichet Santilukka is licensed to practice in Illinois (license number 3646325) 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 1477652444.
Physician's Profile
Full Name | Dr Pichet Santilukka |
---|
Gender | Male |
---|
Speciality | Internal Medicine |
---|
Location | 415 W S Fourth Street, Red Bud, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477652444
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 11/17/2007
Medicare PECOS Information:
- PECOS PAC ID: 4385807064
- Enrollment ID: I20120516000275
Medical Identifiers
Medical identifiers for Dr Pichet Santilukka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477652444 | NPI | - | NPPES |
1417058777 | Other | IL | NPI -- GROUP |
036046325 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 3646325 (Illinois) | 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 Pichet Santilukka 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 Pichet Santilukka, MD Po Box 168, 415 W S Fourth Street Suite A, Red Bud, IL 62278-0168 Ph: (618) 282-3883 | Dr Pichet Santilukka, MD 415 W S Fourth Street, Suite A, Red Bud, IL 62278-0168 Ph: (618) 282-3883 |
Reviews and Comments