Dr Agustin Dequina Dormitorio, MD in Chicago, IL

Dr Agustin Dequina Dormitorio, MD is a medicare enrolled "Surgery" physician in Chicago, Illinois. His current practice location is 5025 N Paulina St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 271-9040.

Dr Agustin Dequina Dormitorio is licensed to practice in Illinois (license number ) 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 1326120999.

Contact Information

	Dr Agustin Dequina Dormitorio, MD
	5025 N Paulina St, Chicago, IL 60640-2772
	(773) 271-9040
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Agustin Dequina Dormitorio
Gender	Male
Speciality	Surgery
Location	5025 N Paulina St, 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: 1326120999
Provider Enumeration Date: 10/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5294756094
Enrollment ID: I20051208000265

Medical Identifiers

Medical identifiers for Dr Agustin Dequina Dormitorio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326120999	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	(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 Agustin Dequina Dormitorio allows following entities to bill medicare on his behalf.

Entity Name	Bethany Homes And Methodist Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891755351 PECOS PAC ID: 5890770655 Enrollment ID: O20040624000228

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 Agustin Dequina Dormitorio 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 Agustin Dequina Dormitorio, MD 1109 Hyde Park Ln, Naperville, IL 60565-1622 Ph: (773) 578-1464	Dr Agustin Dequina Dormitorio, MD 5025 N Paulina St, Chicago, IL 60640-2772 Ph: (773) 271-9040

Reviews and Comments

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Heron Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611 Phone: 312-695-2714

Dr Agustin Dequina Dormitorio, MD - Medicare Surgery in Chicago, IL