Kavitha Gandhi, MD is a medicare enrolled "Dermatology" physician in Park City, Illinois. She went to Northwestern University Feinberg Medical School and graduated in 1998 and has 26 years of diverse experience with area of expertise as Dermatology. Her current practice location is
351 S. Greenleaf, Suite E, Park City, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 680-7100.
Kavitha Gandhi is licensed to practice in Illinois (license number 336-067198) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629149653.
Physician's Profile
Full Name | Kavitha Gandhi |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 26 Years |
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Location | 351 S. Greenleaf, Park City, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kavitha Gandhi attended and graduated from Northwestern University Feinberg Medical School in 1998
NPI Data:
- NPI Number: 1629149653
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 12/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 7517990195
- Enrollment ID: I20050914000627
Medical Identifiers
Medical identifiers for Kavitha Gandhi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629149653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 336-067198 (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. Kavitha Gandhi allows following entities to bill medicare on her behalf.
Entity Name | Lake Shore Dermatology Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902977937 PECOS PAC ID: 8628001203 Enrollment ID: O20050914000606 |
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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. Kavitha Gandhi 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 |
Kavitha Gandhi, MD 351 S. Greenleaf, Suite E, Park City, IL 60085 Ph: (847) 680-7100 | Kavitha Gandhi, MD 351 S. Greenleaf, Suite E, Park City, IL 60085 Ph: (847) 680-7100 |
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