Nelly W Kvirikadze, MD - Medicare Hospitalist in Lake Forest, IL

Nelly W Kvirikadze, MD is a medicare enrolled "Hospitalist" physician in Lake Forest, Illinois. She graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 660 N Westmoreland Rd, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 234-5600.

Nelly W Kvirikadze is licensed to practice in Illinois (license number 036114198) 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 1932291069.

Contact Information

Nelly W Kvirikadze, MD
660 N Westmoreland Rd,
Lake Forest, IL 60045-1659
(847) 234-5600
(847) 941-7902



Physician's Profile

Full NameNelly W Kvirikadze
GenderFemale
SpecialityHospitalist
Experience41 Years
Location660 N Westmoreland Rd, 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:
  • Nelly W Kvirikadze graduated from medical school in 1983
  NPI Data:
  • NPI Number: 1932291069
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 11/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3678574951
  • Enrollment ID: I20070130000129

Medical Identifiers

Medical identifiers for Nelly W Kvirikadze such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932291069NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 036114198 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwestern Lake Forest HospitalLake forest, 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. Nelly W Kvirikadze 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. Nelly W Kvirikadze 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
Nelly W Kvirikadze, MD
680 N Lake Shore Dr, Suite 1000,
Chicago, IL 60611-4546

Ph: () -
Nelly W Kvirikadze, MD
660 N Westmoreland Rd,
Lake Forest, IL 60045-1659

Ph: (847) 234-5600

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Hospitalist Doctors in Lake Forest, IL

Dr. Mohamed Moatez Bayoumi, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-234-5600    Fax: 847-535-7203
Cheong M Yu,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-234-5600    Fax: 847-535-7203
Lillian Soong,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-234-5600    
Dr. Thomas Alexander Morrison, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-535-7181    
Safeer Shah, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-234-5600    Fax: 847-535-7203
Marissa Jane Versalle, DO
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-234-5600    Fax: 847-535-7203
Michael Belmont,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-234-5600    Fax: 847-535-7203

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