Trinath Kuruvella, MD is a medicare enrolled "Family Medicine" in Belvidere, Illinois. His current practice location is
1625 S State St, Belvidere, Illinois. You can reach out to his office (for appointments etc.) via phone at
(610) 984-5640.
Trinath Kuruvella is licensed to practice in Illinois (license number 036153537) 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 1841619863.
Provider's Profile
Full Name | Trinath Kuruvella |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 1625 S State St, Belvidere, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841619863
- Provider Enumeration Date: 04/08/2014
- Last Update Date: 03/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 0749406049
- Enrollment ID: I20230622002353
Medical Identifiers
Medical identifiers for Trinath Kuruvella such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841619863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | 036153537 (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. Trinath Kuruvella allows following entities to bill medicare on his behalf.
Entity Name | Swedishamerican Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
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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. Trinath Kuruvella 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 |
Trinath Kuruvella, MD Po Box 78866, Milwaukee, WI 53278-8866 Ph: (779) 696-7150 | Trinath Kuruvella, MD 1625 S State St, Belvidere, IL 61008-5907 Ph: (610) 984-5640 |
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