Mr Bhadra Dev Komarraju, APRN AGNP-C - Medicare Nurse Practitioner in Hillside, IL

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Mr Bhadra Dev Komarraju, APRN AGNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Hillside, Illinois. His current practice location is 4415 Harrison St, Hillside, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 738-3355.

Mr Bhadra Dev Komarraju is licensed to practice in Illinois (license number 209010785) 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 1831529296.

Contact Information

Mr Bhadra Dev Komarraju, APRN AGNP-C
4415 Harrison St,
Hillside, IL 60162-1910
(312) 738-3355
Not Available

Map and Direction




Provider's Profile

Full NameMr Bhadra Dev Komarraju
GenderMale
SpecialityNurse Practitioner - Gerontology
Location4415 Harrison St, Hillside, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831529296
  • Provider Enumeration Date: 11/22/2013
  • Last Update Date: 03/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1759606296
  • Enrollment ID: I20160406002005

Medical Identifiers

Medical identifiers for Mr Bhadra Dev Komarraju such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831529296NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 209010785 (Illinois)Primary
363LA2200XNurse Practitioner - Adult Health 209010785 (Illinois)Secondary

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. Mr Bhadra Dev Komarraju allows following entities to bill medicare on his behalf.
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174925663
PECOS PAC ID: 9234041948
Enrollment ID: O20040312001189

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. Mr Bhadra Dev Komarraju 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 AddressPractice Location Address
Mr Bhadra Dev Komarraju, APRN AGNP-C
Po Box 45,
Madison, IL 62060-0045

Ph: () -		Mr Bhadra Dev Komarraju, APRN AGNP-C
4415 Harrison St,
Hillside, IL 60162-1910

Ph: (312) 738-3355

Reviews and Comments


Nurse Practitioner Nurses in Hillside, IL

Ms. Nadia Handspike, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4415 Harrison St Ste 247, Hillside, IL 60162
Phone: 312-738-3355    
Ms. Tiffany Deshan Stewart, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4415 Harrison St Ste 247, Hillside, IL 60162
Phone: 773-983-3217    
Suliat Y Oluwa,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 323 Oak Ridge Ave, Hillside, IL 60162
Phone: 217-390-8260    
Mr. Gebreyesus T Hidad, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 436 E End Ave, Hillside, IL 60162
Phone: 708-769-6084    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.