Antoinette Sallamme, MD is a medicare enrolled "Pediatrics" physician in Evergreen Pk, Illinois. Her current practice location is
9730 S Western Ave Ste 500, Evergreen Pk, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 425-7337.
Antoinette Sallamme is licensed to practice in Illinois (license number 036105336) 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 1790843993.
Physician's Profile
Full Name | Antoinette Sallamme |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 9730 S Western Ave Ste 500, Evergreen Pk, 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: 1790843993
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 04/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264759075
- Enrollment ID: I20150316000716
Medical Identifiers
Medical identifiers for Antoinette Sallamme such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790843993 | NPI | - | NPPES |
336066513 | Other | IL | CONTROLLED SUBSTANCE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036105336 (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. Antoinette Sallamme allows following entities to bill medicare on her behalf.
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
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Entity Name | Access Community Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985 |
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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. Antoinette Sallamme 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 |
Antoinette Sallamme, MD 9730 S Western Ave Ste 500, Evergreen Pk, IL 60805-2780 Ph: (708) 425-7337 | Antoinette Sallamme, MD 9730 S Western Ave Ste 500, Evergreen Pk, IL 60805-2780 Ph: (708) 425-7337 |
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