Mina Kerolos, MD, PHARMD in Evanston, IL - Medicare Internal Medicine

Mina Kerolos, MD, PHARMD is a medicare enrolled "Internal Medicine" physician in Evanston, Illinois. His current practice location is 2650 Ridge Ave Ste 1304, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 864-3278.

Mina Kerolos is licensed to practice in Illinois (license number 125076000) 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.

Contact Information

	Mina Kerolos, MD, PHARMD
	2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700
	(847) 864-3278
	Not Available

Physician's Profile

Full Name	Mina Kerolos
Gender	Male
Speciality	Internal Medicine
Location	2650 Ridge Ave Ste 1304, Evanston, Illinois
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: 06/30/2023

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
207R00000X	Internal Medicine	125076000 (Illinois)	Primary
183500000X	Pharmacist	051295670 (Illinois)	Secondary

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 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 702-1150	Mina Kerolos, MD, PHARMD 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 Ph: (847) 864-3278

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Internal Medicine Doctors in Evanston, IL

James Francis Kelly, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Ashley Rachel Mohan, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Im/icu Hospitalists, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Andie Kwon, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2700 Fax: 847-570-2822
Adela Kola, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Matthew R. Sherwood, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Division Of Internal Medicine Rm 4324, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5128
Dipika Oberoi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2700

Mina Kerolos, MD, PHARMD - Medicare Internal Medicine in Evanston, IL