Dr Abrahan Lara-pacheco, MD in Chicago, IL

Dr Abrahan Lara-pacheco, MD is a medicare enrolled "General Practice" physician in Chicago, Illinois. His current practice location is 5841 S Maryland Ave Ste Mc6098, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (855) 702-8222.

Dr Abrahan Lara-pacheco is licensed to practice in Illinois (license number 036.164104) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639799109.

Contact Information

	Dr Abrahan Lara-pacheco, MD
	5841 S Maryland Ave Ste Mc6098, Chicago, IL 60637-1448
	(855) 702-8222
	(773) 753-0552

Map and Direction

Physician's Profile

Full Name	Dr Abrahan Lara-pacheco
Gender	Male
Speciality	General Practice
Location	5841 S Maryland Ave Ste Mc6098, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639799109
Provider Enumeration Date: 04/24/2020
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6901266410
Enrollment ID: I20230719002869

Medical Identifiers

Medical identifiers for Dr Abrahan Lara-pacheco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639799109	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A176759 (California)	Secondary
207QH0002X	Family Medicine - Hospice And Palliative Medicine	036.164104 (Illinois)	Secondary
208D00000X	General Practice	A176759 (California)	Secondary
208D00000X	General Practice	036.164104 (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. Dr Abrahan Lara-pacheco allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Of California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124685169 PECOS PAC ID: 8325370570 Enrollment ID: O20191022000320

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. Dr Abrahan Lara-pacheco 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
Dr Abrahan Lara-pacheco, MD 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 702-1150	Dr Abrahan Lara-pacheco, MD 5841 S Maryland Ave Ste Mc6098, Chicago, IL 60637-1448 Ph: (855) 702-8222

Reviews and Comments

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Dr Abrahan Lara-pacheco, MD - Medicare General Practice in Chicago, IL