Dr Carlton Bruce Hagstrom, DDS - Medicare Dentist in Fox Lake, IL

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Dr Carlton Bruce Hagstrom, DDS is a medicare enrolled "Dentist - General Practice" provider in Fox Lake, Illinois. His current practice location is 208 S Us Highway 12, Fox Lake, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 587-5400.

Dr Carlton Bruce Hagstrom is licensed to practice in Illinois (license number 19A15870) 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 1144243585.

Contact Information

Dr Carlton Bruce Hagstrom, DDS
208 S Us Highway 12,
Fox Lake, IL 60020-1928
(847) 587-5400
(847) 587-5400

Map and Direction




Healthcare Provider's Profile

Full NameDr Carlton Bruce Hagstrom
GenderMale
SpecialityDentist - General Practice
Location208 S Us Highway 12, Fox Lake, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144243585
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0941528574
  • Enrollment ID: I20150410002545

Medical Identifiers

Medical identifiers for Dr Carlton Bruce Hagstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144243585NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 19A15870 (Illinois)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 Carlton Bruce Hagstrom 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 AddressPractice Location Address
Dr Carlton Bruce Hagstrom, DDS
208 S Us Highway 12,
Fox Lake, IL 60020-1928

Ph: (847) 587-5400		Dr Carlton Bruce Hagstrom, DDS
208 S Us Highway 12,
Fox Lake, IL 60020-1928

Ph: (847) 587-5400

Reviews and Comments


Dentist in Fox Lake, IL

Dr. Thomas Love Prendergast,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1394 S Route 12, Fox Lake, IL 60020
Phone: 847-587-5053    
Dr. Daniel Choo, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1250 S Us Highway 12, Fox Lake, IL 60020
Phone: 847-587-6600    Fax: 847-587-6618
Dr. Donald Saltzman, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1250 S Us Highway 12, Fox Lake, IL 60020
Phone: 847-587-6600    Fax: 847-587-6618
Dr. Caroline Shepherd, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1394 S Route 12, Fox Lake, IL 60020
Phone: 847-587-5053    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.