Dr Priti Khanna Mahajan, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Forest Park, Illinois. Her current practice location is
8200 Roosevelt Rd, Forest Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 488-9850.
Dr Priti Khanna Mahajan is licensed to practice in Illinois (license number 036094381) 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 1629030630.
Physician's Profile
| Full Name | Dr Priti Khanna Mahajan |
|---|
| Gender | Female |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 8200 Roosevelt Rd, Forest Park, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1629030630
- Provider Enumeration Date: 04/05/2006
- Last Update Date: 10/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 0143543587
- Enrollment ID: I20141216001658
Medical Identifiers
Medical identifiers for Dr Priti Khanna Mahajan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629030630 | NPI | - | NPPES |
| 036094381 | Other | IL | LICENSE NO |
| 036094381 | Medicaid | IL | |
| P01406915 | Other | IL | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 036094381 (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. Dr Priti Khanna Mahajan allows following entities to bill medicare on her behalf.
| Entity Name | Integrated Rehab Consultants Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1528379195
PECOS PAC ID: 7810184892
Enrollment ID: O20101203000704 |
|---|
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. Dr Priti Khanna Mahajan 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 |
|---|
Dr Priti Khanna Mahajan, MD
401 N Michigan Ave, Suite 1200,
Chicago, IL 60611-4264
Ph: (312) 635-0973 | Dr Priti Khanna Mahajan, MD
8200 Roosevelt Rd,
Forest Park, IL 60130-2528
Ph: (708) 488-9850 |
Reviews and Comments