Neil Patel, MD - Medicare Pediatrics in Springfield, IL

Neil Patel, MD is a medicare enrolled "Pediatrics" physician in Springfield, Illinois. His current practice location is 415 N 9th St # 4w64, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 545-8000.

Neil Patel is licensed to practice in Illinois (license number 036.133463) 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 1972829489.

Contact Information

Neil Patel, MD
415 N 9th St # 4w64,
Springfield, IL 62702-5303
(217) 545-8000
Not Available

Map and Direction




Physician's Profile

Full NameNeil Patel
GenderMale
SpecialityPediatrics
Location415 N 9th St # 4w64, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972829489
  • Provider Enumeration Date: 04/09/2010
  • Last Update Date: 06/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466695481
  • Enrollment ID: I20200603001724

Medical Identifiers

Medical identifiers for Neil Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972829489NPI-NPPES
0403167MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 35139524 (Ohio)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine 35139524 (Ohio)Secondary
208M00000XHospitalist 35139524 (Ohio)Secondary
208000000XPediatrics 036.133463 (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. Neil Patel allows following entities to bill medicare on his behalf.
Entity NamePediatric Academic Association, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063419943
PECOS PAC ID: 2961306774
Enrollment ID: O20031124000198

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. Neil Patel 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
Neil Patel, MD
201 E Madison St Ste 328,
Springfield, IL 62702-5131

Ph: (217) 545-8000
Neil Patel, MD
415 N 9th St # 4w64,
Springfield, IL 62702-5303

Ph: (217) 545-8000

Reviews and Comments


Pediatrics Doctors in Springfield, IL

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Phone: 217-545-4238    Fax: 217-545-2303

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).

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