Dr William Gustav Flick, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Oak Lawn, Illinois. His current practice location is
6305 W 95th St, Suite 301, Oak Lawn, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 425-4300.
Dr William Gustav Flick is licensed to practice in Illinois (license number 021001050) 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 1871696922.
Healthcare Provider's Profile
| Full Name | Dr William Gustav Flick |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 6305 W 95th St, Oak Lawn, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871696922
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 10/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274684329
- Enrollment ID: I20090630000568
Medical Identifiers
Medical identifiers for Dr William Gustav Flick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871696922 | NPI | - | NPPES |
| 0040121107 | Other | IL | BLUE CROSS BLUE SHIELD |
| 0091640652 | Other | IL | BLUE CROSS BLUE SHIELD |
| 0091640653 | Other | IL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019.014839 (Illinois) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 137000009 (Illinois) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 137000009 (Illinois) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 021001050 (Illinois) | 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 William Gustav Flick 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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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 William Gustav Flick 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 William Gustav Flick, DDS
6305 W 95th St, Suite 301,
Oak Lawn, IL 60453-2255
Ph: (708) 425-4300 | Dr William Gustav Flick, DDS
6305 W 95th St, Suite 301,
Oak Lawn, IL 60453-2255
Ph: (708) 425-4300 |
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