Subramanya S Mallikarjunappa, in Chicago, IL - Medicare Pathology

Subramanya S Mallikarjunappa, is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Chicago, Illinois. His current practice location is 1653 W Congress Pkwy, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (888) 352-7874.

Subramanya S Mallikarjunappa is licensed to practice in Illinois (license number 125072796) 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 1225515968.

Contact Information

	Subramanya S Mallikarjunappa,
	1653 W Congress Pkwy, Chicago, IL 60612-3833
	(888) 352-7874
	Not Available

Physician's Profile

Full Name	Subramanya S Mallikarjunappa
Gender	Male
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	1653 W Congress Pkwy, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225515968
Provider Enumeration Date: 07/25/2018
Last Update Date: 06/14/2022

Medicare PECOS Information:

PECOS PAC ID: 5395124341
Enrollment ID: I20220621003417

Medical Identifiers

Medical identifiers for Subramanya S Mallikarjunappa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225515968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	91930 (Georgia)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	125072796 (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. Subramanya S Mallikarjunappa 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
Subramanya S Mallikarjunappa, 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 Ph: () -	Subramanya S Mallikarjunappa, 1653 W Congress Pkwy, Chicago, IL 60612-3833 Ph: (888) 352-7874

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Pathology Doctors in Chicago, IL

Mark Wang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Feinberg Pavilion, Chicago, IL 60611 Phone: 312-503-8144 Fax: 312-502-8249
Sandeep Gurbuxani, Pathology Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200
Dr. Katrina Krogh, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St Ste 7-132i, Chicago, IL 60611 Phone: 312-926-7913 Fax: 312-926-3127
Dr. Carmencita Garcia Senseng, MD Pathology Medicare: Medicare Enrolled Practice Location: 1900 W Polk St, Chicago, IL 60612 Phone: 312-864-7561
Suman Setty, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273
Jayme Brentan, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797
Dr. Megan Elizabeth Sullivan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-926-3211

Subramanya S Mallikarjunappa, - Medicare Pathology in Chicago, IL