Gaurav Thakur, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Columbus, Ohio. His current practice location is
395 W 12th Ave, Third Floor, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 293-3989.
Gaurav Thakur is licensed to practice in * (Not Available) (license number ) 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 1184078248.
Physician's Profile
| Full Name | Gaurav Thakur |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 395 W 12th Ave, Columbus, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184078248
- Provider Enumeration Date: 04/14/2016
- Last Update Date: 06/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426328667
- Enrollment ID: I20220718001169
Medical Identifiers
Medical identifiers for Gaurav Thakur such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184078248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | 18637 (California) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 02006769A (Indiana) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MB11500700 (New Jersey) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 71214 (Connecticut) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 2022-00966 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Gaurav Thakur allows following entities to bill medicare on his behalf.
| Entity Name | Atlanticare Physician Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093829608
PECOS PAC ID: 8527953660
Enrollment ID: O20040218000405 |
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| Entity Name | Valley Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467815928
PECOS PAC ID: 3577857333
Enrollment ID: O20160802002824 |
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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. Gaurav Thakur 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 |
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Gaurav Thakur, DO
3574 Autumnwood Ln,
Okemos, MI 48864-5994
Ph: (517) 303-6794 | Gaurav Thakur, DO
395 W 12th Ave, Third Floor,
Columbus, OH 43210-1267
Ph: (614) 293-3989 |
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