Dr Leonardo Miguel Bachoco Castillo, DMD in Gurnee, IL

Dr Leonardo Miguel Bachoco Castillo, DMD is a medicare enrolled "Dentist" provider in Gurnee, Illinois. His current practice location is 3775 Grand Ave, Gurnee, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 623-6300.

Dr Leonardo Miguel Bachoco Castillo is licensed to practice in Indiana (license number 12013892A) 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 1396406476.

Contact Information

	Dr Leonardo Miguel Bachoco Castillo, DMD
	3775 Grand Ave, Gurnee, IL 60031-2909
	(847) 623-6300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Leonardo Miguel Bachoco Castillo
Gender	Male
Speciality	Dentist
Location	3775 Grand Ave, Gurnee, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396406476
Provider Enumeration Date: 12/31/2021
Last Update Date: 05/30/2023

Medicare PECOS Information:

PECOS PAC ID: 3870951890
Enrollment ID: I20230623002498

Medical Identifiers

Medical identifiers for Dr Leonardo Miguel Bachoco Castillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396406476	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019034052 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
122300000X	Dentist	12013892A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Leonardo Miguel Bachoco Castillo allows following entities to bill medicare on his behalf.

Entity Name	Comfort Care Dentistry Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669165759 PECOS PAC ID: 2961860986 Enrollment ID: O20230623002023

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 Leonardo Miguel Bachoco Castillo 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 Leonardo Miguel Bachoco Castillo, DMD 771 Cherry Creek Dr, Grayslake, IL 60030-3359 Ph: (562) 650-0741	Dr Leonardo Miguel Bachoco Castillo, DMD 3775 Grand Ave, Gurnee, IL 60031-2909 Ph: (847) 623-6300

Reviews and Comments

Dentist in Gurnee, IL

Timothy Lars Straka, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3 S Greenleaf Ave, Suite L, Gurnee, IL 60031 Phone: 847-360-8450
Dr. Fabian David Latocha, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 202 S Greenleaf St, Suite A, Gurnee, IL 60031 Phone: 847-623-2830 Fax: 847-623-1534
Dr. Hetal Patel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5250 Grand Ave, Ste 10, Gurnee, IL 60031 Phone: 847-855-1000 Fax: 847-360-0225
Dr. Desiree Loreno, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 731 S Il Route 21 Ste 160, Gurnee, IL 60031 Phone: 224-433-6009 Fax: 224-433-6397
Dr. Christine S Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5250 Grand Ave, #7, Gurnee, IL 60031 Phone: 847-662-7755 Fax: 847-662-7723
Dr. Ira L Shapira, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1810 N Delany Rd, Gurnee, IL 60031 Phone: 847-623-5530 Fax: 847-623-7233
Dr. Howard I. Cooper, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5101 Washington St, Suite 2v, Gurnee, IL 60031 Phone: 847-244-4000 Fax: 847-244-5911

Dr Leonardo Miguel Bachoco Castillo, DMD - Medicare Dentist in Gurnee, IL