Krishnaj Gourab, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Gwynn Oak, Maryland. His current practice location is
2200 Kernan Dr, Gwynn Oak, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 550-1715.
Krishnaj Gourab is licensed to practice in Maryland (license number D76155) 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 1538394242.
Physician's Profile
Full Name | Krishnaj Gourab |
---|
Gender | Male |
---|
Speciality | Physical Medicine & Rehabilitation |
---|
Location | 2200 Kernan Dr, Gwynn Oak, Maryland |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538394242
- Provider Enumeration Date: 05/26/2009
- Last Update Date: 03/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 8325288186
- Enrollment ID: I20130628000299
Medical Identifiers
Medical identifiers for Krishnaj Gourab such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538394242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083C0008X | Preventive Medicine - Clinical Informatics | D76155 (Maryland) | Secondary |
208100000X | Physical Medicine & Rehabilitation | D76155 (Maryland) | 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. Krishnaj Gourab allows following entities to bill medicare on his behalf.
Entity Name | Johns Hopkins University |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
---|
Entity Name | University Of Maryland Community Medical Group Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
---|
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. Krishnaj Gourab 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 |
Krishnaj Gourab, 2200 Kernan Dr, Gwynn Oak, MD 21207-6665 Ph: (410) 448-6895 | Krishnaj Gourab, 2200 Kernan Dr, Gwynn Oak, MD 21207-6665 Ph: (410) 550-1715 |
Reviews and Comments