Highland Park Physical Medicine is a medicare enrolled "Anesthesiology - Pain Medicine" provider in Highland Park, Illinois. Their current practice location is
600 Central Ave, Ste 144, Highland Park, Illinois. You can reach out to their office (for appointments etc.) via phone at
(847) 266-5656.
Highland Park Physical Medicine is licensed to practice in Illinois (license number ) and it also participates in the medicare program. Highland Park Physical Medicine
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 1295126373.
Healthcare Provider's Profile
| Full Name | Highland Park Physical Medicine |
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| Type | Facility |
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| Speciality | Anesthesiology - Pain Medicine |
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| Location | 600 Central Ave, Highland Park, 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: 1295126373
- Provider Enumeration Date: 02/11/2015
- Last Update Date: 02/11/2015
Medicare PECOS Information:
- PECOS PAC ID: 2567780232
- Enrollment ID: O20150408001845
Medical Identifiers
Medical identifiers for Highland Park Physical Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295126373 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (Illinois) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | (Illinois) | Primary |
| 208D00000X | General Practice | (Illinois) | Secondary |
| 225100000X | Physical Therapist | (Illinois) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Highland Park Physical Medicine acts as a billing entity for following providers:
| Provider Name | Jamie Lens |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1316166812
PECOS PAC ID: 2567628126
Enrollment ID: I20120725000917 |
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| Provider Name | James R Otoole |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1952746794
PECOS PAC ID: 6507005832
Enrollment ID: I20130618000536 |
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| Provider Name | Kinal B Patel |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1023456530
PECOS PAC ID: 5597993220
Enrollment ID: I20140102000415 |
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| Provider Name | Gabriella C Laurino |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1902318694
PECOS PAC ID: 0244598027
Enrollment ID: I20171228000516 |
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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. Highland Park Physical Medicine 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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Highland Park Physical Medicine
600 Central Ave, Ste 144,
Highland Park, IL 60035-3211
Ph: (847) 266-5656 | Highland Park Physical Medicine
600 Central Ave, Ste 144,
Highland Park, IL 60035-3211
Ph: (847) 266-5656 |
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