Great Lakes Health & Wellness,sc is a medicare enrolled "Durable Medical Equipment & Medical Supplies" provider in Palos Heights, Illinois. Their current practice location is
7250 W College Dr Ste 1sw, Palos Heights, Illinois. You can reach out to their office (for appointments etc.) via phone at
(708) 371-6114.
Great Lakes Health & Wellness,sc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Great Lakes Health & Wellness,sc
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 1831351873.
Healthcare Provider's Profile
| Full Name | Great Lakes Health & Wellness,sc |
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| Type | Facility |
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| Speciality | Durable Medical Equipment & Medical Supplies |
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| Location | 7250 W College Dr Ste 1sw, Palos Heights, 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: 1831351873
- Provider Enumeration Date: 07/01/2008
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103965272
- Enrollment ID: O20091202000529
Medical Identifiers
Medical identifiers for Great Lakes Health & Wellness,sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831351873 | NPI | - | NPPES |
| 038.008605 | Other | IL | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 038.008605 (Illinois) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Great Lakes Health & Wellness,sc acts as a billing entity for following providers:
| Provider Name | Mary F Peterson |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1538233176
PECOS PAC ID: 3173595444
Enrollment ID: I20091202000522 |
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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. Great Lakes Health & Wellness,sc 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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Great Lakes Health & Wellness,sc
7250 W College Dr Ste 1sw,
Palos Heights, IL 60463-1393
Ph: (708) 371-6114 | Great Lakes Health & Wellness,sc
7250 W College Dr Ste 1sw,
Palos Heights, IL 60463-1393
Ph: (708) 371-6114 |
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