Kamal Kishore, MD is a medicare enrolled "Ophthalmology" physician in Peru, Illinois. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Illinois Retina Institute, Sc and his current practice location is
3602 Marquette Rd, Peru, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 223-7400.
Kamal Kishore is licensed to practice in Illinois (license number 036-100858) 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 1215059977.
Physician's Profile
Full Name | Kamal Kishore |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 39 Years |
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Location | 3602 Marquette Rd, Peru, Illinois |
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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:
- Kamal Kishore graduated from medical school in 1985
NPI Data:
- NPI Number: 1215059977
- Provider Enumeration Date: 04/04/2007
- Last Update Date: 06/02/2014
Medicare PECOS Information:
- PECOS PAC ID: 1153305552
- Enrollment ID: I20040615000089
Medical Identifiers
Medical identifiers for Kamal Kishore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215059977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 036-100858 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Illinois Retina Institute, Sc | 0941398077 | 3 |
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. Kamal Kishore allows following entities to bill medicare on his behalf.
Entity Name | Illinois Retina Institute, Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003875436 PECOS PAC ID: 0941398077 Enrollment ID: O20071126000655 |
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Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
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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. Kamal Kishore 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 |
Kamal Kishore, MD Po Box 36, Peoria, IL 61650-0036 Ph: (815) 223-7400 | Kamal Kishore, MD 3602 Marquette Rd, Peru, IL 61354-1450 Ph: (815) 223-7400 |
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