Poonam Thakore, MD in Carbondale, IL

Poonam Thakore, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Carbondale, Illinois. Her current practice location is 405 W Jackson St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 549-0721.

Poonam Thakore is licensed to practice in Illinois (license number 036159517) 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 1447612148.

Contact Information

	Poonam Thakore, MD
	405 W Jackson St, Carbondale, IL 62901-1462
	(618) 549-0721
	Not Available

Map and Direction

Physician's Profile

Full Name	Poonam Thakore
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	405 W Jackson St, Carbondale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447612148
Provider Enumeration Date: 03/22/2016
Last Update Date: 08/11/2022

Medicare PECOS Information:

PECOS PAC ID: 6305125790
Enrollment ID: I20220719001616

Medical Identifiers

Medical identifiers for Poonam Thakore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447612148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	62497 (Connecticut)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	036159517 (Illinois)	Primary
208000000X	Pediatrics	036159517 (Illinois)	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. Poonam Thakore allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

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. Poonam Thakore 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
Poonam Thakore, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Poonam Thakore, MD 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721

Reviews and Comments

Pediatrics Doctors in Carbondale, IL

Dr. Kathryn Churling, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128
Dr. Timothy Allotey Pappoe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Dr. Tandy Korte, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Dr. William Chotas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0549
Dr. Amanda Jane Bleichner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Tamara Buckles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878

Poonam Thakore, MD - Medicare Pediatrics in Carbondale, IL