Thakshakamani Madamala, MD in Crystal Lake, IL - Medicare Psychiatry & Neurology

Thakshakamani Madamala, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Crystal Lake, Illinois. Her current practice location is 500 Coventry Ln, Suite 205, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 455-7100.

Thakshakamani Madamala is licensed to practice in Illinois (license number 036-085807) 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 1588663843.

Contact Information

	Thakshakamani Madamala, MD
	500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7579
	(815) 455-7100
	(815) 455-3951

Map and Direction

Physician's Profile

Full Name	Thakshakamani Madamala
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	500 Coventry Ln, Crystal Lake, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588663843
Provider Enumeration Date: 07/19/2005
Last Update Date: 07/05/2012

Medicare PECOS Information:

PECOS PAC ID: 9335206507
Enrollment ID: I20090316000546

Medical Identifiers

Medical identifiers for Thakshakamani Madamala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588663843	NPI	-	NPPES
036085807	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	036-085807 (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. Thakshakamani Madamala allows following entities to bill medicare on her behalf.

Entity Name	Horizons Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881692689 PECOS PAC ID: 4385531672 Enrollment ID: O20040304000369

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. Thakshakamani Madamala 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
Thakshakamani Madamala, MD 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7579 Ph: (815) 455-7100	Thakshakamani Madamala, MD 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7579 Ph: (815) 455-7100

Reviews and Comments

Psychiatry & Neurology Doctors in Crystal Lake, IL

Dr. Edwin Vera Gumapas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25 S Virginia St, Ste 201, Crystal Lake, IL 60014 Phone: 815-356-0475 Fax: 815-356-0796
Dr. Kathryn Schoenbrod, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 390 E Congress Pkwy, Suite J, Crystal Lake, IL 60014 Phone: 815-356-5050 Fax: 815-356-5094
Jessica Wolf, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 360 Station Dr Ste 300, Crystal Lake, IL 60014 Phone: 815-455-1800
Dr. Ramesh Babu Vemuri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 145 S Virginia St, Crystal Lake, IL 60014 Phone: 815-444-9999 Fax: 815-397-2712
Mrs. Mohinder Chadha, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014 Phone: 815-455-7100 Fax: 815-455-3951
Katherine Ann Godfrey, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 390 E Congress Pkwy, Suite J, Crystal Lake, IL 60014 Phone: 815-356-5050 Fax: 815-356-5094
Venkata C Jampala, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014 Phone: 815-455-7100 Fax: 815-455-3951

Thakshakamani Madamala, MD - Medicare Psychiatry & Neurology in Crystal Lake, IL