Pushpa K Mamtani, MD in Ottawa, IL

Pushpa K Mamtani, MD is a medicare enrolled "Pediatrics" physician in Ottawa, Illinois. Her current practice location is 1614 E Norris Dr, Ottawa, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 433-1010.

Pushpa K Mamtani is licensed to practice in Michigan (license number 4301503653) 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 1376527168.

Contact Information

	Pushpa K Mamtani, MD
	1614 E Norris Dr, Ottawa, IL 61350-3681
	(815) 433-1010
	(815) 433-0067

Map and Direction

Physician's Profile

Full Name	Pushpa K Mamtani
Gender	Female
Speciality	Pediatrics
Location	1614 E Norris Dr, Ottawa, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376527168
Provider Enumeration Date: 12/05/2005
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 9032160395
Enrollment ID: I20050203000349

Medical Identifiers

Medical identifiers for Pushpa K Mamtani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376527168	NPI	-	NPPES
036064091	Medicaid	IL
01932040	Other	IL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	36 064091 (Illinois)	Secondary
208000000X	Pediatrics	4301503653 (Michigan)	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. Pushpa K Mamtani allows following entities to bill medicare on her behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Pushpa K Mamtani 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
Pushpa K Mamtani, MD 1614 E Norris Dr, Ottawa, IL 61350-3681 Ph: () -	Pushpa K Mamtani, MD 1614 E Norris Dr, Ottawa, IL 61350-3681 Ph: (815) 433-1010

Reviews and Comments

Pediatrics Doctors in Ottawa, IL

Dr. Amar Lal Dave, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1209 Starfire Dr, Ste #1, Ottawa, IL 61350 Phone: 815-434-2115 Fax: 815-434-2116
Dr. Alejandro Marchini, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1614 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-1010
Dr. Melissa Marie Dubert Hill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1306 Gemini Cir Ste 1, Ottawa, IL 61350 Phone: 815-433-9200 Fax: 815-705-1716

Pushpa K Mamtani, MD - Medicare Pediatrics in Ottawa, IL