Dr Daniela Huerta De Hathaway, MD in Crystal Lake, IL

Dr Daniela Huerta De Hathaway, MD is a medicare enrolled "Internal Medicine" physician in Crystal Lake, Illinois. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Central Dupage Physician Group and her current practice location is 650 Dakota St Ste A, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 338-6600.

Dr Daniela Huerta De Hathaway is licensed to practice in Illinois (license number 036127309) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235390154.

Contact Information

	Dr Daniela Huerta De Hathaway, MD
	650 Dakota St Ste A, Crystal Lake, IL 60012
	(815) 338-6600
	(815) 356-1104

Map and Direction

Physician's Profile

Full Name	Dr Daniela Huerta De Hathaway
Gender	Female
Speciality	Internal Medicine
Experience	21 Years
Location	650 Dakota St Ste A, Crystal Lake, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Daniela Huerta De Hathaway graduated from medical school in 2003

NPI Data:

NPI Number: 1235390154
Provider Enumeration Date: 06/23/2008
Last Update Date: 10/19/2018

Medicare PECOS Information:

PECOS PAC ID: 5294913463
Enrollment ID: I20110617000521

Medical Identifiers

Medical identifiers for Dr Daniela Huerta De Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235390154	NPI	-	NPPES
P01069683	Other	IL	RR MEDICARE PTAN
036127309	Medicaid	IL
036127309	Other	IL	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125054385 (Illinois)	Secondary
207R00000X	Internal Medicine	036127309 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
One Home Health Agency, Ltd	Crystal lake, IL	Home health agency
Central Dupage Hospital	Winfield, IL	Hospital
Northwestern Medicine Mchenry Hospital	Mchenry, IL	Hospital
Delnor Community Hospital	Geneva, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Dupage Physician Group	5890696231	977

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 Daniela Huerta De Hathaway allows following entities to bill medicare on her behalf.

Entity Name	Central Dupage Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601

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 Daniela Huerta De Hathaway 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 Daniela Huerta De Hathaway, MD 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 Ph: (815) 338-6600	Dr Daniela Huerta De Hathaway, MD 650 Dakota St Ste A, Crystal Lake, IL 60012 Ph: (815) 338-6600

Reviews and Comments

Internal Medicine Doctors in Crystal Lake, IL

Dr. Raman I Popli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 S Virginia St Ste C, Crystal Lake, IL 60014 Phone: 815-363-6055 Fax: 815-363-6150
Dr. Irfan K Moinuddin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 442 N Il Route 31, Crystal Lake, IL 60012 Phone: 224-238-3211
Dr. Veera A Rao, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 690 E Terra Cotta Ave Ste A, Crystal Lake, IL 60014 Phone: 815-455-2452 Fax: 815-455-2789
Nitin Kher, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 690 E Terra Cotta Ave Ste A, Crystal Lake, IL 60014 Phone: 815-307-8075 Fax: 815-344-4302
Dr. Sandeep Chunduri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 E Congress Pkwy, Suite 300, Crystal Lake, IL 60014 Phone: 815-759-9260 Fax: 815-459-7460
Mr. Mohit Arora, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 690 E Terra Cotta Ave, Suite D, Crystal Lake, IL 60014 Phone: 815-455-8600 Fax: 815-455-8601
Mr. Brian M-y Wu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6317 Nw Hwy, Crystal Lake, IL 60014 Phone: 815-459-4333 Fax: 815-477-7279

Dr Daniela Huerta De Hathaway, MD - Medicare Internal Medicine in Crystal Lake, IL