Mina Kerolos, MD, PHARMD is a medicare enrolled "Internal Medicine" provider in Chicago, Illinois. His current practice location is
7435 W Talcott Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 990-7741.
Mina Kerolos is licensed to practice in Illinois (license number 036164050) 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 1013264936.
Healthcare Provider's Profile
Full Name | Mina Kerolos |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 7435 W Talcott Ave, Chicago, 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: 1013264936
- Provider Enumeration Date: 08/09/2012
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608293386
- Enrollment ID: I20200826001096
Medical Identifiers
Medical identifiers for Mina Kerolos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013264936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 051295670 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036164050 (Illinois) | Primary |
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. Mina Kerolos 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 |
Mina Kerolos, MD, PHARMD 7435 W Talcott Ave, Chicago, IL 60631-3707 Ph: (773) 990-7741 | Mina Kerolos, MD, PHARMD 7435 W Talcott Ave, Chicago, IL 60631-3707 Ph: (773) 990-7741 |
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