Ms Gayathri S Moorthy, APN-CNP in Evanston, IL

Ms Gayathri S Moorthy, APN-CNP is a medicare enrolled "Nurse Practitioner" in Evanston, Illinois. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Endeavor Health Medical Group and her current practice location is 2650 Ridge Ave., Kellogg Cancer Center, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 570-2112.

Ms Gayathri S Moorthy is licensed to practice in Illinois (license number 209018439) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295203768.

Contact Information

	Ms Gayathri S Moorthy, APN-CNP
	2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201-1718
	(847) 570-2112
	(847) 570-1041

Map and Direction

Provider's Profile

Full Name	Ms Gayathri S Moorthy
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	2650 Ridge Ave., Evanston, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Gayathri S Moorthy graduated from nursing school in 2018

NPI Data:

NPI Number: 1295203768
Provider Enumeration Date: 11/02/2018
Last Update Date: 10/15/2019

Medicare PECOS Information:

PECOS PAC ID: 8022355338
Enrollment ID: I20190124001869

Medical Identifiers

Medical identifiers for Ms Gayathri S Moorthy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295203768	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041403571 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209018439 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	2710

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. Ms Gayathri S Moorthy allows following entities to bill medicare on her behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Ms Gayathri S Moorthy 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
Ms Gayathri S Moorthy, APN-CNP 2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201-1718 Ph: (847) 570-2112	Ms Gayathri S Moorthy, APN-CNP 2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201-1718 Ph: (847) 570-2112

Reviews and Comments

Nurse Practitioner Nurses in Evanston, IL

Marlene Angelico, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Emergency Medicine, Rm G903c, Evanston, IL 60201 Phone: 847-570-1355 Fax: 847-570-1223
Emily Pableo Pinol, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3811
Reba Elizabeth Mathew, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Asbury Ave # 316-3320, Evanston, IL 60202 Phone: 847-316-3320
Mrs. Monika Marrero, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-425-6400
Holly Rene, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-1027
Manijeh Ghafouri, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Central St, Evanston, IL 60201 Phone: 847-869-3800
Regina Munoz, APN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Central St Ste 610, Evanston, IL 60201 Phone: 847-570-1029 Fax: 847-733-5318

Ms Gayathri S Moorthy, APN-CNP - Medicare Nurse Practitioner in Evanston, IL