Dr Sreenivasa Basavanthappa, MD in Bloomington, IL

Dr Sreenivasa Basavanthappa, MD is a medicare enrolled "Ophthalmology - Retina Specialist" physician in Bloomington, Illinois. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Gailey Eye Clinic, Ltd and his current practice location is 2501 E College Ave Ste B, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 557-8666.

Dr Sreenivasa Basavanthappa is licensed to practice in Illinois (license number 03-6163408) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497953871.

Contact Information

	Dr Sreenivasa Basavanthappa, MD
	2501 E College Ave Ste B, Bloomington, IL 61704-2484
	(309) 557-8666
	(309) 827-8027

Map and Direction

Physician's Profile

Full Name	Dr Sreenivasa Basavanthappa
Gender	Male
Speciality	Ophthalmology
Experience	27 Years
Location	2501 E College Ave Ste B, Bloomington, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Sreenivasa Basavanthappa graduated from medical school in 1997

NPI Data:

NPI Number: 1497953871
Provider Enumeration Date: 07/06/2007
Last Update Date: 12/28/2023

Medicare PECOS Information:

PECOS PAC ID: 4688863954
Enrollment ID: I20230410001625

Medical Identifiers

Medical identifiers for Dr Sreenivasa Basavanthappa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497953871	NPI	-	NPPES
110096239A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207WX0107X	Ophthalmology - Retina Specialist	03-6163408 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gailey Eye Clinic, Ltd	2769469337	14

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 Sreenivasa Basavanthappa allows following entities to bill medicare on his behalf.

Entity Name	Gailey Eye Clinic, Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184829814 PECOS PAC ID: 2769469337 Enrollment ID: O20040802000570

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 Sreenivasa Basavanthappa 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 Sreenivasa Basavanthappa, MD 1008 N Main St, Bloomington, IL 61701-1784 Ph: (309) 557-8666	Dr Sreenivasa Basavanthappa, MD 2501 E College Ave Ste B, Bloomington, IL 61704-2484 Ph: (309) 557-8666

Reviews and Comments

Ophthalmology Doctors in Bloomington, IL

Dr. Edward Leslie Colloton, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1505 Eastland Dr, Ste 2200, Bloomington, IL 61701 Phone: 309-662-7700 Fax: 309-662-0829
Dr. Scott Merrill Pinter, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Ste 2200, Bloomington, IL 61701 Phone: 309-662-7700 Fax: 309-662-0829
Dr. Catharine Jean Crockett, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Ste 2200, Bloomington, IL 61701 Phone: 309-662-7700 Fax: 309-662-0829
Robert S Baller, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1228 N Towanda Avenue, Bloomington, IL 61701 Phone: 309-662-3937 Fax: 309-662-1205
Saba Quraishi, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1228 Towanda Ave, Bond Eye Associates, S.c., Bloomington, IL 61701 Phone: 309-662-3937
Chintan A Pathak, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1107 Airport Rd, Bloomington, IL 61704 Phone: 309-662-7700

Dr Sreenivasa Basavanthappa, MD - Medicare Ophthalmology in Bloomington, IL