Charles M Van Slambrouck, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Hazel Crest, Illinois. He went to Rush Medical College Of Rush University and graduated in 2010 and has 15 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Midwest Diagnostic Pathology, S.c. and his current practice location is
17800 Kedzie Ave, Hazel Crest, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 799-8000.
Charles M Van Slambrouck is licensed to practice in Illinois (license number 036132369) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356653596.
Physician's Profile
| Full Name | Charles M Van Slambrouck |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 15 Years |
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| Location | 17800 Kedzie Ave, Hazel Crest, Illinois |
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| Accepts Medicare Assignments | Yes. He 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:
- Charles M Van Slambrouck attended and graduated from Rush Medical College Of Rush University in 2010
NPI Data:
- NPI Number: 1356653596
- Provider Enumeration Date: 07/03/2010
- Last Update Date: 12/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052614344
- Enrollment ID: I20160711002443
Medical Identifiers
Medical identifiers for Charles M Van Slambrouck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356653596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZH0000X | Pathology - Hematology | 036132369 (Illinois) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036132369 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Midwest Diagnostic Pathology, S.c. | 7911924428 | 46 |
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. Charles M Van Slambrouck allows following entities to bill medicare on his behalf.
| Entity Name | Midwest Diagnostic Pathology, S.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982606380
PECOS PAC ID: 7911924428
Enrollment ID: O20051024001038 |
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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. Charles M Van Slambrouck 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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Charles M Van Slambrouck, MD
17800 Kedzie Ave,
Hazel Crest, IL 60429-2029
Ph: (708) 213-3457 | Charles M Van Slambrouck, MD
17800 Kedzie Ave,
Hazel Crest, IL 60429-2029
Ph: (708) 799-8000 |
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