Affinity Integrated Healthcare is a medicare enrolled "Family Medicine" provider in Libertyville, Illinois. Their current practice location is
736 Florsheim Dr, St 12, Libertyville, Illinois. You can reach out to their office (for appointments etc.) via phone at
(847) 680-3900.
Affinity Integrated Healthcare is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Affinity Integrated Healthcare
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1962929018.
Healthcare Provider's Profile
| Full Name | Affinity Integrated Healthcare |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 736 Florsheim Dr, St 12, Libertyville, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962929018
- Provider Enumeration Date: 08/29/2017
- Last Update Date: 10/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587076229
- Enrollment ID: O20201222000654
Medical Identifiers
Medical identifiers for Affinity Integrated Healthcare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962929018 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Affinity Integrated Healthcare acts as a billing entity for following providers:
| Provider Name | Rebecca Mendoza |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1306977152
PECOS PAC ID: 7416033469
Enrollment ID: I20080401000106 |
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| Provider Name | Julia Milman |
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| Provider Type | Practitioner - Anesthesiology |
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| Provider Identifiers | NPI Number: 1356507248
PECOS PAC ID: 8123173234
Enrollment ID: I20090825000675 |
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| Provider Name | Ronald M Rebmann |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1992884498
PECOS PAC ID: 0749435782
Enrollment ID: I20130301000019 |
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| Provider Name | Heidi Weiland |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1649415001
PECOS PAC ID: 2961814538
Enrollment ID: I20201224000206 |
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| Provider Name | Robin B Page |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1093813404
PECOS PAC ID: 3870906449
Enrollment ID: I20201229001483 |
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| Provider Name | Stephanie Fayne |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1609489525
PECOS PAC ID: 7810303393
Enrollment ID: I20210308001941 |
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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. Affinity Integrated Healthcare 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 |
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Affinity Integrated Healthcare
736 Florsheim Dr, St 12,
Libertyville, IL 60048
Ph: (847) 680-3900 | Affinity Integrated Healthcare
736 Florsheim Dr, St 12,
Libertyville, IL 60048
Ph: (847) 680-3900 |
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