Dr Sanjay K Garg, MBBS - Medicare Pediatrics in Charleston, IL

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Dr Sanjay K Garg, MBBS is a medicare enrolled "Pediatrics" physician in Charleston, Illinois. His current practice location is 116 W Buchanan Ave, Charleston, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 345-7700.

Dr Sanjay K Garg is licensed to practice in Illinois (license number 036095041) 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 1679594055.

Contact Information

Dr Sanjay K Garg, MBBS
116 W Buchanan Ave,
Charleston, IL 61920-2522
(217) 345-7700
(217) 345-7200

Map and Direction




Physician's Profile

Full NameDr Sanjay K Garg
GenderMale
SpecialityPediatrics
Location116 W Buchanan Ave, Charleston, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679594055
  • Provider Enumeration Date: 07/21/2006
  • Last Update Date: 07/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022093004
  • Enrollment ID: I20181109002128

Medical Identifiers

Medical identifiers for Dr Sanjay K Garg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679594055NPI-NPPES
200465180MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 01058382A (Indiana)Secondary
208000000XPediatrics 036095041 (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 Sanjay K Garg allows following entities to bill medicare on his behalf.
Entity NameSarah Bush Lincoln Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478

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 Sanjay K Garg 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 Sanjay K Garg, MBBS
Po Box 372,
Mattoon, IL 61938-0372

Ph: (217) 868-2812		Dr Sanjay K Garg, MBBS
116 W Buchanan Ave,
Charleston, IL 61920-2522

Ph: (217) 345-7700

Reviews and Comments


Pediatrics Doctors in Charleston, IL

Dr. Seema Garg,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 116 W Buchanan Ave, Charleston, IL 61920
Phone: 217-345-7700    Fax: 217-345-7200
David W Stoltz, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 13700 Old State Rd, Charleston, IL 61920
Phone: 217-345-7700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.