Derrick Anthony Mackavich, DO | |
2320 E 93rd St, Advocate Trinity Hospital, Chicago, IL 60617-3983 | |
(773) 967-2000 | |
(773) 967-2000 |
Full Name | Derrick Anthony Mackavich |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 25 Years |
Location | 2320 E 93rd St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043326317 | NPI | - | NPPES |
036110111 1 | Medicaid | IL | |
0001620300 | Other | IL | BLUECROSS BLUESHILD OF IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dupage Eye Anesthesiology Llc | 5193819480 | 6 |
Entity Name | Town Square Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669471017 PECOS PAC ID: 9335047455 Enrollment ID: O20031229000379 |
Entity Name | Ambulatory Anesthesiologists Of Chicago Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659306272 PECOS PAC ID: 4284605171 Enrollment ID: O20040804000481 |
Entity Name | Dupage Eye Anesthesiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891995916 PECOS PAC ID: 5193819480 Enrollment ID: O20070918000029 |
Mailing Address | Practice Location Address |
---|---|
Derrick Anthony Mackavich, DO 1435 W Henderson St # 3, Chicago, IL 60657-2103 Ph: (773) 327-5058 | Derrick Anthony Mackavich, DO 2320 E 93rd St, Advocate Trinity Hospital, Chicago, IL 60617-3983 Ph: (773) 967-2000 |
Dr. Aaron Daniel Kallsnick, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5645 W Addison St, Chicago, IL 60634 Phone: 773-282-7000 | |
Mr. Abbas Al-qamari, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1250 S Michigan Ave, Unit 602, Chicago, IL 60605 Phone: 847-863-7486 | |
Dr. Raymond S Belmonte, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 25 E Washington St, Suite 300, Chicago, IL 60602 Phone: 312-726-3329 | |
Cassidy Schwab, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-695-0061 | |
Vidhi Srivastava, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 | |
Samuel Johnson, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 S Paulina St Ste 403, Chicago, IL 60612 Phone: 312-942-3134 Fax: 501-380-2282 | |
Dr. Kimberly Lois Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 E 51st St, Chicago, IL 60615 Phone: 312-572-2680 Fax: 312-572-2686 |