Mr Mitchell Allen Maczko, DMD is a medicare enrolled "Dentist" provider in Arlington Hgts, Illinois. His current practice location is
1112 E Central, Arlington Hgts, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 398-1334.
Mr Mitchell Allen Maczko is licensed to practice in Illinois (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 1053487983.
Healthcare Provider's Profile
Full Name | Mr Mitchell Allen Maczko |
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Gender | Male |
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Speciality | Dentist |
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Location | 1112 E Central, Arlington Hgts, 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: 1053487983
- Provider Enumeration Date: 11/24/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7012131170
- Enrollment ID: I20140610002130
Medical Identifiers
Medical identifiers for Mr Mitchell Allen Maczko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053487983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | (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. Mr Mitchell Allen Maczko 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 |
Mr Mitchell Allen Maczko, DMD 1112 E Central, Arlington Hgts, IL 60005 Ph: (847) 398-1334 | Mr Mitchell Allen Maczko, DMD 1112 E Central, Arlington Hgts, IL 60005 Ph: (847) 398-1334 |
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