Galilee Medical Center, S.c. is a medicare enrolled "Family Medicine" provider in Chicago, Illinois. Their current practice location is
4849 W Fullerton Ave, Chicago, Illinois. You can reach out to their office (for appointments etc.) via phone at
(773) 309-6740.
Galilee Medical Center, S.c. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Galilee Medical Center, S.c.
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 1497797393.
Healthcare Provider's Profile
| Full Name | Galilee Medical Center, S.c. |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 4849 W Fullerton Ave, Chicago, 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: 1497797393
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 02/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395648836
- Enrollment ID: O20040130000817
Medical Identifiers
Medical identifiers for Galilee Medical Center, S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497797393 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (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.
Galilee Medical Center, S.c. acts as a billing entity for following providers:
| Provider Name | Naser Rustom |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1154374171
PECOS PAC ID: 6002719556
Enrollment ID: I20040414000215 |
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| Provider Name | Juanita Moreno Valverde |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1922258276
PECOS PAC ID: 9234290560
Enrollment ID: I20081205000093 |
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| Provider Name | Maurice A Guzman |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1528057874
PECOS PAC ID: 9739350703
Enrollment ID: I20110922000709 |
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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. Galilee Medical Center, S.c. 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 |
|---|
Galilee Medical Center, S.c.
4903 W Fullerton Ave,
Chicago, IL 60639-2548
Ph: (773) 237-0755 | Galilee Medical Center, S.c.
4849 W Fullerton Ave,
Chicago, IL 60639-2503
Ph: (773) 309-6740 |
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