Dr Andrew Evo Bertagna, DMD, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Chicago, Illinois. His current practice location is
801 S Paulina St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 996-2567.
Dr Andrew Evo Bertagna is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790345262.
Healthcare Provider's Profile
Full Name | Dr Andrew Evo Bertagna |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 801 S Paulina St, Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790345262
- Provider Enumeration Date: 06/17/2019
- Last Update Date: 05/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163754896
- Enrollment ID: I20191030002261
Medical Identifiers
Medical identifiers for Dr Andrew Evo Bertagna such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790345262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 019032240 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Dr Andrew Evo Bertagna 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 |
Dr Andrew Evo Bertagna, DMD, MD 825 Seers Dr, Schaumburg, IL 60173-6198 Ph: () - | Dr Andrew Evo Bertagna, DMD, MD 801 S Paulina St, Chicago, IL 60612-7210 Ph: (312) 996-2567 |
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