Dr Roger Boodoo, MD in Chicago, IL

Dr Roger Boodoo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Chicago, Illinois. His current practice location is 1740 W Taylor St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 355-2095.

Dr Roger Boodoo is licensed to practice in California (license number A92879) 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 1861421570.

Contact Information

	Dr Roger Boodoo, MD
	1740 W Taylor St, Chicago, IL 60612-7232
	(312) 355-2095
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Roger Boodoo
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1740 W Taylor St, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861421570
Provider Enumeration Date: 07/03/2006
Last Update Date: 08/10/2016

Medicare PECOS Information:

PECOS PAC ID: 8123343662
Enrollment ID: I20240320000295

Medical Identifiers

Medical identifiers for Dr Roger Boodoo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861421570	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A92879 (California)	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 Roger Boodoo allows following entities to bill medicare on his behalf.

Entity Name	Memorial Mri And Diagnostic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912989120 PECOS PAC ID: 6507859568 Enrollment ID: O20051209000488

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 Roger Boodoo 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 Roger Boodoo, MD 1740 W Taylor St, Chicago, IL 60612-7232 Ph: () -	Dr Roger Boodoo, MD 1740 W Taylor St, Chicago, IL 60612-7232 Ph: (312) 355-2095

Reviews and Comments

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Dr Roger Boodoo, MD - Medicare Radiology in Chicago, IL