Beverly L Deck, MD is a medicare enrolled "General Practice" physician in Forest Park, Illinois. Her current practice location is
7318 Madison St, Forest Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 560-1960.
Beverly L Deck is licensed to practice in Illinois (license number 036087476) 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 1043308828.
Physician's Profile
Full Name | Beverly L Deck |
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Gender | Female |
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Speciality | General Practice |
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Location | 7318 Madison St, Forest Park, 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: 1043308828
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 06/24/2014
Medicare PECOS Information:
- PECOS PAC ID: 2062476344
- Enrollment ID: I20041116000965
Medical Identifiers
Medical identifiers for Beverly L Deck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043308828 | NPI | - | NPPES |
0001636851 | Other | IL | BLUE CROSS/ BLUE SHIELD |
036087476 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 036087476 (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. Beverly L Deck allows following entities to bill medicare on her behalf.
Entity Name | Premise Health Of Illinois Medical, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427366921 PECOS PAC ID: 3971764762 Enrollment ID: O20120423000619 |
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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. Beverly L Deck 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 |
Beverly L Deck, MD 7318 Madison St, Forest Park, IL 60130-3100 Ph: (708) 560-1960 | Beverly L Deck, MD 7318 Madison St, Forest Park, IL 60130-3100 Ph: (708) 560-1960 |
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