Mariam Anis, MD - Medicare Pulmonary Disease in Lake Forest, IL

Mariam Anis, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Lake Forest, Illinois. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 1000 N Westmoreland Rd # Level1, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 535-7647.

Mariam Anis is licensed to practice in Illinois (license number 036142926) 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 1013274349.

Contact Information

Mariam Anis, MD
1000 N Westmoreland Rd # Level1,
Lake Forest, IL 60045-1658
(847) 535-7647
(847) 535-7151



Physician's Profile

Full NameMariam Anis
GenderFemale
SpecialityPulmonary Disease
Experience14 Years
Location1000 N Westmoreland Rd # Level1, Lake Forest, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mariam Anis graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1013274349
  • Provider Enumeration Date: 04/11/2012
  • Last Update Date: 10/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2668607052
  • Enrollment ID: I20210929000484

Medical Identifiers

Medical identifiers for Mariam Anis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013274349NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 036142926 (Illinois)Primary
207R00000XInternal Medicine 35.126029 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwestern Lake Forest HospitalLake forest, ILHospital
Northwestern Medicine Mchenry HospitalMchenry, ILHospital
Northwestern Memorial HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143255

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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. Mariam Anis allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541

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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. Mariam Anis 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
Mariam Anis, MD
1000 N Westmoreland Rd # Level1,
Lake Forest, IL 60045-1658

Ph: (847) 535-7647
Mariam Anis, MD
1000 N Westmoreland Rd # Level1,
Lake Forest, IL 60045-1658

Ph: (847) 535-7647

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Internal Medicine Doctors in Lake Forest, IL

Dr. Joy Williams, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-234-5600    Fax: 847-535-7203
Dr. Jason T Garti, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 800 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045
Phone: 847-234-8866    Fax: 824-234-4682
Dr. Vikram Kanakayya Devisetty, M.D., M.B.A., M.P.H.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-234-5600    
Jennifer M Nguyen, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-234-5600    
Andrew Min Jun Choi, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-234-5600    
Sam F Hull, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 951 Country Pl, Lake Forest, IL 60045
Phone: 847-295-5729    Fax: 847-295-5700

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