Dr Utpal U Chakravorty, MD - Medicare Family Medicine in Dawson, MN

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Dr Utpal U Chakravorty, MD is a medicare enrolled "Family Medicine" physician in Dawson, Minnesota. His current practice location is 1282 Walnut St, Dawson, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 312-2118.

Dr Utpal U Chakravorty is licensed to practice in Minnesota (license number 38604) 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 1295761641.

Contact Information

Dr Utpal U Chakravorty, MD
1282 Walnut St,
Dawson, MN 56232-2333
(320) 312-2118
(320) 769-2972

Map and Direction




Physician's Profile

Full NameDr Utpal U Chakravorty
GenderMale
SpecialityFamily Medicine
Location1282 Walnut St, Dawson, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295761641
  • Provider Enumeration Date: 06/25/2006
  • Last Update Date: 11/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3274520234
  • Enrollment ID: I20040429001488

Medical Identifiers

Medical identifiers for Dr Utpal U Chakravorty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295761641NPI-NPPES
909316800MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 38604 (Minnesota)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 Utpal U Chakravorty allows following entities to bill medicare on his behalf.
Entity NameJohnson Memorial Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770697260
PECOS PAC ID: 5395653836
Enrollment ID: O20031223000327
Entity NameAppleton Area Health
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1578590626
PECOS PAC ID: 7618952565
Enrollment ID: O20060504000767
Entity NameJohnson Memorial Health Services
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1093745051
PECOS PAC ID: 5395653836
Enrollment ID: O20060504000935
Entity NameAppleton Area Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730126673
PECOS PAC ID: 7618952565
Enrollment ID: O20060818000114

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 Utpal U Chakravorty 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 Utpal U Chakravorty, MD
Po Box 6001,
Fargo, ND 58108-6001

Ph: (701) 364-6600		Dr Utpal U Chakravorty, MD
1282 Walnut St,
Dawson, MN 56232-2333

Ph: (320) 312-2118

Reviews and Comments


Family Medicine Doctors in Dawson, MN

Dr. Ralph Leonard Gerbig, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1272 Walnut St, Dawson, MN 56232
Phone: 320-769-4393    Fax: 320-769-2972
Erik J Shelstad, M.D,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1282 Walnut St, Dawson, MN 56232
Phone: 320-312-2118    Fax: 320-769-4576
Dr. Ayaz Virji, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1282 Walnut St, Dawson, MN 56232
Phone: 320-769-4323    Fax: 320-769-2972

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.