Dr Michael Papadimitriou, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Chicago, Illinois. He went to University Of Detroit Mercy School Of Dentistry and graduated in 2003 and has 21 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Evaskus And Herzog Ltd, The Board Of Trustees Of The University Of Illinois and his current practice location is
2440 W Peterson Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 761-7171.
Dr Michael Papadimitriou is licensed to practice in Illinois (license number 019026374) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1396993945.
Healthcare Provider's Profile
| Full Name | Dr Michael Papadimitriou |
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| Gender | Male |
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| Speciality | Maxillofacial Surgery |
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| Experience | 21 Years |
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| Location | 2440 W Peterson Ave, Chicago, Illinois |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Papadimitriou attended and graduated from University Of Detroit Mercy School Of Dentistry in 2003
NPI Data:
- NPI Number: 1396993945
- Provider Enumeration Date: 09/08/2008
- Last Update Date: 12/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 4587711171
- Enrollment ID: I20090420000025
Medical Identifiers
Medical identifiers for Dr Michael Papadimitriou such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396993945 | NPI | - | NPPES |
| 019026374 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 019026374 (Illinois) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 019026374 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Evaskus And Herzog Ltd | 2961559547 | 3 |
| The Board Of Trustees Of The University Of Illinois | 3072422716 | 923 |
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 Michael Papadimitriou allows following entities to bill medicare on his behalf.
| Entity Name | The Board Of Trustees Of The University Of Illinois |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158 |
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| Entity Name | Evaskus And Herzog Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316044837
PECOS PAC ID: 2961559547
Enrollment ID: O20090420000012 |
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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. Dr Michael Papadimitriou 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 Michael Papadimitriou, DDS
2440 W Peterson Ave,
Chicago, IL 60659-4113
Ph: (773) 761-7171 | Dr Michael Papadimitriou, DDS
2440 W Peterson Ave,
Chicago, IL 60659-4113
Ph: (773) 761-7171 |
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