Surjit Thiara, MD is a medicare enrolled "General Practice" physician in Rochelle, Illinois. His current practice location is
915 N Caron Rd, Rochelle, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 562-4014.
Surjit Thiara is licensed to practice in Illinois (license number 036073740) 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 1609856715.
Physician's Profile
Full Name | Surjit Thiara |
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Gender | Male |
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Speciality | General Practice |
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Location | 915 N Caron Rd, Rochelle, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609856715
- Provider Enumeration Date: 01/17/2006
- Last Update Date: 07/16/2007
Medicare PECOS Information:
- PECOS PAC ID: 2062598386
- Enrollment ID: I20080327000301
Medical Identifiers
Medical identifiers for Surjit Thiara such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609856715 | NPI | - | NPPES |
036073740 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 036073740 (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. Surjit Thiara allows following entities to bill medicare on his behalf.
Entity Name | Surjit S Thiara Md Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477757235 PECOS PAC ID: 8325124647 Enrollment ID: O20080327000309 |
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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. Surjit Thiara 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 |
Surjit Thiara, MD Po Box 418, Rochelle, IL 61068-0418 Ph: (815) 654-7772 | Surjit Thiara, MD 915 N Caron Rd, Rochelle, IL 61068-9649 Ph: (815) 562-4014 |
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