Regency Park Medical Group Llc is a medicare enrolled "General Practice" provider in O Fallon, Illinois. Their current practice location is
124 Regency Park Ste 7, O Fallon, Illinois. You can reach out to their office (for appointments etc.) via phone at
(480) 926-7800.
Regency Park Medical Group Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Regency Park Medical Group Llc
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 1063034783.
Healthcare Provider's Profile
| Full Name | Regency Park Medical Group Llc |
|---|
| Type | Facility |
|---|
| Speciality | General Practice |
|---|
| Location | 124 Regency Park Ste 7, O Fallon, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1063034783
- Provider Enumeration Date: 05/15/2020
- Last Update Date: 08/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608282769
- Enrollment ID: O20210316000249
Medical Identifiers
Medical identifiers for Regency Park Medical Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063034783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (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.
Regency Park Medical Group Llc acts as a billing entity for following providers:
| Provider Name | Gabriella L Sabatino |
|---|
| Provider Type | Practitioner - Chiropractic |
|---|
| Provider Identifiers | NPI Number: 1447552476
PECOS PAC ID: 4082802954
Enrollment ID: I20101217000861 |
|---|
| Provider Name | Lyndsie S Muyleart |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1134605439
PECOS PAC ID: 8325391246
Enrollment ID: I20181023002324 |
|---|
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. Regency Park Medical Group Llc 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 |
|---|
Regency Park Medical Group Llc
2250 E Germann Rd Ste 8,
Chandler, AZ 85286-1575
Ph: (480) 926-7800 | Regency Park Medical Group Llc
124 Regency Park Ste 7,
O Fallon, IL 62269-1994
Ph: (480) 926-7800 |
Reviews and Comments