Dr Samir A Patel, DO - Medicare Pediatrics in Decatur, IL

Dr Samir A Patel, DO is a medicare enrolled "Pediatrics" physician in Decatur, Illinois. His current practice location is 1730 E Lake Shore Dr, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 329-1000.

Dr Samir A Patel is licensed to practice in Illinois (license number 036096741) 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 1992704332.

Contact Information

Dr Samir A Patel, DO
1730 E Lake Shore Dr,
Decatur, IL 62521-3809
(217) 329-1000
(217) 329-1055



Physician's Profile

Full NameDr Samir A Patel
GenderMale
SpecialityPediatrics
Location1730 E Lake Shore Dr, Decatur, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992704332
  • Provider Enumeration Date: 07/19/2005
  • Last Update Date: 12/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0648465245
  • Enrollment ID: I20101109000624

Medical Identifiers

Medical identifiers for Dr Samir A Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992704332NPI-NPPES
036094812MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036096741 (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. Dr Samir A Patel 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 AddressPractice Location Address
Dr Samir A Patel, DO
1900 E Lake Shore Dr, Suite 330,
Decatur, IL 62521-3824

Ph: (217) 423-2889
Dr Samir A Patel, DO
1730 E Lake Shore Dr,
Decatur, IL 62521-3809

Ph: (217) 329-1000

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Pediatrics Doctors in Decatur, IL

Margaret M Thomson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2905 N. Main Street, Decatur, IL 62526
Phone: 217-877-9117    Fax: 217-877-3077
Rebecca J Josefson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 320 E Central Ave, Decatur, IL 62521
Phone: 217-877-9117    Fax: 217-877-3081
Dr. Sharon J Bonds, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-8121    
Mayra A Arzon, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: One Memorial Dr, Ste 101, Decatur, IL 62526
Phone: 217-875-0690    Fax: 217-875-4148
Christina M Branham, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 637 E Snyder St, Decatur, IL 62526
Phone: 217-423-7337    Fax: 217-423-7338
Dr. Thomas Franklin Rutherford Iii, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 176 W Mound Rd, Decatur, IL 62526
Phone: 217-875-0163    
Jamie Sue Warnick, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1770 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-423-8800    Fax: 217-422-8120

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