Adelaide Violet Packard, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Tinley Park, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2016 and has 8 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Dupage Medical Group Ltd and her current practice location is
17495 La Grange Rd, Tinley Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 226-7000.
Adelaide Violet Packard is licensed to practice in Illinois (license number 036-163003) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437512811.
Physician's Profile
| Full Name | Adelaide Violet Packard |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 8 Years |
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| Location | 17495 La Grange Rd, Tinley Park, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Adelaide Violet Packard attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2016
NPI Data:
- NPI Number: 1437512811
- Provider Enumeration Date: 04/01/2016
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678992435
- Enrollment ID: I20230405001759
Medical Identifiers
Medical identifiers for Adelaide Violet Packard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437512811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207VX0000X | Obstetrics & Gynecology - Obstetrics | DR.0064015 (Colorado) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Florida) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 036-163003 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dupage Medical Group Ltd | 5496667941 | 1186 |
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. Adelaide Violet Packard allows following entities to bill medicare on her behalf.
| Entity Name | Dupage Medical Group Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20031110000535 |
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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. Adelaide Violet Packard 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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Adelaide Violet Packard, MD
Po Box 713260,
Chicago, IL 60677-1260
Ph: (630) 469-9200 | Adelaide Violet Packard, MD
17495 La Grange Rd,
Tinley Park, IL 60487-7581
Ph: (708) 226-7000 |
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