Dr Brian Proctor, DO is a medicare enrolled "Ophthalmology" physician in Melrose Park, Illinois. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Tennenbaum And Anstadt, Ltd and his current practice location is
675 W North Ave, Ste 107, Melrose Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 450-4510.
Dr Brian Proctor is licensed to practice in Illinois (license number 036089352) 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 1649276833.
Physician's Profile
| Full Name | Dr Brian Proctor |
|---|
| Gender | Male |
|---|
| Speciality | Ophthalmology |
|---|
| Experience | 34 Years |
|---|
| Location | 675 W North Ave, Melrose Park, 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. |
|---|
Medical Education and Training:
- Dr Brian Proctor attended and graduated from Michigan State University College Of Osteopathic Medicine in 1990
NPI Data:
- NPI Number: 1649276833
- Provider Enumeration Date: 06/22/2005
- Last Update Date: 06/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 7517975634
- Enrollment ID: I20060331000435
Medical Identifiers
Medical identifiers for Dr Brian Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649276833 | NPI | - | NPPES |
| 180029414 | Other | | RAILROAD MEDICARE |
| 036089352 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 036089352 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tennenbaum And Anstadt, Ltd | 7618985730 | 6 |
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 Brian Proctor allows following entities to bill medicare on his behalf.
| Entity Name | Tennenbaum And Anstadt, Ltd |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1750495321
PECOS PAC ID: 7618985730
Enrollment ID: O20060331000357 |
|---|
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 Brian Proctor 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 Brian Proctor, DO
675 W North Ave, Ste 107,
Melrose Park, IL 60160-1622
Ph: (708) 450-4510 | Dr Brian Proctor, DO
675 W North Ave, Ste 107,
Melrose Park, IL 60160-1622
Ph: (708) 450-4510 |
Reviews and Comments