Maitri Mehta, DO - Medicare Family Medicine in Dixon, IL

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Maitri Mehta, DO is a medicare enrolled "Family Medicine" physician in Dixon, Illinois. Her current practice location is 102 S Hennepin Ave, Dixon, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 285-8520.

Maitri Mehta is licensed to practice in Illinois (license number 125-078487) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003490921.

Contact Information

Maitri Mehta, DO
102 S Hennepin Ave,
Dixon, IL 61021-3013
(815) 285-8520
(815) 285-8903

Map and Direction




Physician's Profile

Full NameMaitri Mehta
GenderFemale
SpecialityFamily Medicine
Location102 S Hennepin Ave, Dixon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003490921
  • Provider Enumeration Date: 05/06/2021
  • Last Update Date: 06/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3971900226
  • Enrollment ID: I20230920002139

Medical Identifiers

Medical identifiers for Maitri Mehta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003490921NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125-078487 (Illinois)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Maitri Mehta allows following entities to bill medicare on her behalf.
Entity NameKsb Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073592119
PECOS PAC ID: 7911890009
Enrollment ID: O20040203000860
Entity NameKatherine Shaw Bethea Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427043546
PECOS PAC ID: 2264480037
Enrollment ID: O20081218000029

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. Maitri Mehta 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
Maitri Mehta, DO
1038 Gardenwood Dr,
San Jose, CA 95129-3017

Ph: (408) 636-8636		Maitri Mehta, DO
102 S Hennepin Ave,
Dixon, IL 61021-3013

Ph: (815) 285-8520

Reviews and Comments


Family Medicine Doctors in Dixon, IL

Asad Jamal, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 403 E 1st St, Dixon, IL 61021
Phone: 815-285-5629    Fax: 815-285-5634
Kirk Anthony Stewart, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 102 S Hennepin Ave, Dixon, IL 61021
Phone: 815-285-8520    Fax: 815-285-8520
Jaclyn Pranita Parayao, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 S Hennepin Ave, Dixon, IL 61021
Phone: 815-285-8520    Fax: 815-285-8903
Tyrone Robert Brand, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 403 E 1st St, Dixon, IL 61021
Phone: 815-285-5629    Fax: 815-285-5634
Tyler Walsh, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 S Hennepin Ave, Dixon, IL 61021
Phone: 815-285-8520    Fax: 815-285-8903
Dr. James Francis Gallant, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 403 E 1st St, Dixon, IL 61021
Phone: 815-285-5552    Fax: 815-285-5865

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.