Vasiliki Pavlou, RDN is a medicare enrolled "Dietitian, Registered" provider in Kildeer, Illinois. Her current practice location is
21382 N Grove Dr, Kildeer, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 830-4082.
Vasiliki Pavlou is licensed to practice in Illinois (license number 164008354) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437725876.
Healthcare Provider's Profile
| Full Name | Vasiliki Pavlou |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 21382 N Grove Dr, Kildeer, 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: 1437725876
- Provider Enumeration Date: 05/27/2021
- Last Update Date: 11/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557739497
- Enrollment ID: I20221123003011
Medical Identifiers
Medical identifiers for Vasiliki Pavlou such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437725876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 164008354 (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. Vasiliki Pavlou allows following entities to bill medicare on her behalf.
| Provider Name | Revolution Ptwl Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164766606
PECOS PAC ID: 7719115617
Enrollment ID: O20140123001222 |
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| Provider Name | Alexian Brothers Medical Group Specialty Care |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275990061
PECOS PAC ID: 1456636612
Enrollment ID: O20170330001530 |
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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. Vasiliki Pavlou 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 |
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Vasiliki Pavlou, RDN
21382 N Grove Dr,
Kildeer, IL 60047-8656
Ph: () - | Vasiliki Pavlou, RDN
21382 N Grove Dr,
Kildeer, IL 60047-8656
Ph: (847) 830-4082 |
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