Cole David Lundquist, MD is a medicare enrolled "Dermatology" physician in Park Ridge, Illinois. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Dermatology. His current practice location is
1875 W Dempster St, Ste 660, Park Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 698-1210.
Cole David Lundquist is licensed to practice in Illinois (license number 036056878) 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 1982688891.
Physician's Profile
Full Name | Cole David Lundquist |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 47 Years |
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Location | 1875 W Dempster St, Park Ridge, 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. |
Medical Education and Training:
- Cole David Lundquist graduated from medical school in 1977
NPI Data:
- NPI Number: 1982688891
- Provider Enumeration Date: 12/05/2005
- Last Update Date: 11/11/2008
Medicare PECOS Information:
- PECOS PAC ID: 8022205442
- Enrollment ID: I20150729010243
Medical Identifiers
Medical identifiers for Cole David Lundquist such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982688891 | NPI | - | NPPES |
036056878 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 036056878 (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. Cole David Lundquist allows following entities to bill medicare on his behalf.
Entity Name | Dermatology Associates Of Indy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962808774 PECOS PAC ID: 1658697453 Enrollment ID: O20150312002083 |
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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. Cole David Lundquist 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 |
Cole David Lundquist, MD 7447 W. Talcott Ave, Suite 321, Chicago, IL 60631 Ph: (773) 774-7122 | Cole David Lundquist, MD 1875 W Dempster St, Ste 660, Park Ridge, IL 60068-1186 Ph: (847) 698-1210 |
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