Purvi Gabhawala, AGNP in Des Plaines, IL - Medicare Nurse Practitioner

Purvi Gabhawala, AGNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Des Plaines, Illinois. Her current practice location is 150 N River Rd, Des Plaines, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 290-1300.

Purvi Gabhawala is licensed to practice in Illinois (license number 209024148) 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 1104589209.

Contact Information

	Purvi Gabhawala, AGNP
	150 N River Rd, Des Plaines, IL 60016-1272
	(847) 290-1300
	Not Available

Map and Direction

Provider's Profile

Full Name	Purvi Gabhawala
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	150 N River Rd, Des Plaines, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104589209
Provider Enumeration Date: 10/16/2021
Last Update Date: 10/16/2021

Medicare PECOS Information:

PECOS PAC ID: 5991178576
Enrollment ID: I20230301001724

Medical Identifiers

Medical identifiers for Purvi Gabhawala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104589209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	209024148 (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. Purvi Gabhawala allows following entities to bill medicare on her behalf.

Entity Name	Northwest Medical Care Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447277447 PECOS PAC ID: 4486847498 Enrollment ID: O20101022000750

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. Purvi Gabhawala 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
Purvi Gabhawala, AGNP 1112 Sandhurst Ln, Carol Stream, IL 60188-4348 Ph: (631) 605-2916	Purvi Gabhawala, AGNP 150 N River Rd, Des Plaines, IL 60016-1272 Ph: (847) 290-1300

Reviews and Comments

Nurse Practitioner Nurses in Des Plaines, IL

Caroline Odior Shodunola, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 595 Anita St # 595a, Des Plaines, IL 60016 Phone: 773-475-1210
Ms. Susan A Mack, APRN-FPA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 514 Teela Ln, Des Plaines, IL 60016 Phone: 847-692-6000 Fax: 847-692-6112
Amitaben Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2250 E Devon Ave Ste 333, Des Plaines, IL 60018 Phone: 224-803-2273
Sivani Patel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1426 Danbury Ln, Des Plaines, IL 60018 Phone: 224-595-7813
Mr. Ibrahim Aldasoqi, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Potter Rd, Des Plaines, IL 60016 Phone: 773-319-2317
Christina Valdivia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Rand Rd Ste 120, Des Plaines, IL 60016 Phone: 312-767-3244

Purvi Gabhawala, AGNP - Medicare Nurse Practitioner in Des Plaines, IL