Pranjal M Agrawal, MD | |
102 S Hennepin Ave, Dixon, IL 61021-3013 | |
(815) 284-7733 | |
(815) 288-1487 |
Full Name | Pranjal M Agrawal |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 22 Years |
Location | 102 S Hennepin Ave, Dixon, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174723290 | NPI | - | NPPES |
036118796 | Medicaid | IL | |
336-080021 | Other | IL | ILLINOIS CONTROLLED SUBST |
036-118796 | Other | IL | ILLINOIS PHYSICIAN & SURG |
80020007 | Other | IL | MEDICARE PTAN |
K40163 | Other | IL | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-118796 (Illinois) | Primary |
208M00000X | Hospitalist | 036-118796 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
Presence Saint Francis Hospital | Evanston, IL | Hospital |
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Citadel Care Center-wilmette | Wilmette, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stellar Healthcare Pllc | 5092172577 | 2 |
Ksb Medical Group Inc | 7911890009 | 74 |
Entity Name | Ksb Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Entity Name | Presence Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
Entity Name | Katherine Shaw Bethea Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
Entity Name | Stellar Healthcare Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982305405 PECOS PAC ID: 5092172577 Enrollment ID: O20230530001386 |
Mailing Address | Practice Location Address |
---|---|
Pranjal M Agrawal, MD 102 S Hennepin Ave, Dixon, IL 61021-3013 Ph: (815) 285-8535 | Pranjal M Agrawal, MD 102 S Hennepin Ave, Dixon, IL 61021-3013 Ph: (815) 284-7733 |
Abdulhamid Alkhalaf, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St Ste 310, Dixon, IL 61021 Phone: 815-285-5979 Fax: 815-285-5845 | |
Eric Gale, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Suite 214, Dixon, IL 61021 Phone: 815-284-1600 | |
Dr. Danca Luchici, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1321 N Galena Ave, Dixon, IL 61021 Phone: 815-625-4790 | |
Dr. Fadi M Mustapha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Dixon, IL 61021 Phone: 815-285-5843 Fax: 815-285-5846 | |
Philippa M Devenney, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 Phone: 815-285-5629 Fax: 815-285-5634 | |
Dr. Dara Grennan, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5629 Fax: 815-285-5634 |