Mrs Pataraporn Sripraram, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hines, Illinois. Her current practice location is
5000 S 5th Ave, Hines, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 202-4613.
Mrs Pataraporn Sripraram is licensed to practice in Illinois (license number 209009721) 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 1568710846.
Provider's Profile
| Full Name | Mrs Pataraporn Sripraram |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 5000 S 5th Ave, Hines, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1568710846
- Provider Enumeration Date: 08/17/2012
- Last Update Date: 02/02/2013
Medicare PECOS Information:
- PECOS PAC ID: 8325293236
- Enrollment ID: I20130226000596
Medical Identifiers
Medical identifiers for Mrs Pataraporn Sripraram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568710846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 041326050 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 768915 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209009721 (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. Mrs Pataraporn Sripraram allows following entities to bill medicare on her behalf.
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158 |
|---|
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. Mrs Pataraporn Sripraram 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 |
|---|
Mrs Pataraporn Sripraram, CRNA
5000 S 5th Ave,
Hines, IL 60141-3030
Ph: () - | Mrs Pataraporn Sripraram, CRNA
5000 S 5th Ave,
Hines, IL 60141-3030
Ph: (708) 202-4613 |
Reviews and Comments