Dr Dimitrios T Mougolias, MD - Medicare Emergency Medicine in Libertyville, IL

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Dr Dimitrios T Mougolias, MD is a medicare enrolled "Emergency Medicine" physician in Libertyville, Illinois. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Cepamerica Illinois Llp, Riverside Emergency Physicians Llc and his current practice location is 801 S Milwaukee Ave, Libertyville, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 990-2075.

Dr Dimitrios T Mougolias is licensed to practice in Illinois (license number 036118251) 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 1053520700.

Contact Information

Dr Dimitrios T Mougolias, MD
801 S Milwaukee Ave,
Libertyville, IL 60048-3204
(847) 990-2075
Not Available

Map and Direction




Physician's Profile

Full NameDr Dimitrios T Mougolias
GenderMale
SpecialityEmergency Medicine
Experience20 Years
Location801 S Milwaukee Ave, Libertyville, Illinois
Accepts Medicare AssignmentsYes. 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 Dimitrios T Mougolias graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1053520700
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 02/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3375632748
  • Enrollment ID: I20071228000405

Medical Identifiers

Medical identifiers for Dr Dimitrios T Mougolias such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053520700NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 53098-20 (Wisconsin)Secondary
207PE0004XEmergency Medicine - Emergency Medical Services 036118251 (Illinois)Secondary
207P00000XEmergency Medicine 036118251 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverside Medical CenterKankakee, ILHospital
Adventist La Grange Memorial HospitalLa grange, ILHospital
Advocate Condell Medical CenterLibertyville, ILHospital
Tristar Summit Medical CenterHermitage, TNHospital
St Mary's Hospital Medical CenterGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cepamerica Illinois Llp3274793633417
Riverside Emergency Physicians Llc620429411925

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 Dimitrios T Mougolias allows following entities to bill medicare on his behalf.
Entity NameOttawa Regional Hospital & Healthcare Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306971080
PECOS PAC ID: 9133029861
Enrollment ID: O20040109000910
Entity NameMendota Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407872997
PECOS PAC ID: 2264335777
Enrollment ID: O20040131000102
Entity NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587
Entity NameIllinois Emergency Medicine Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003150962
PECOS PAC ID: 6103071808
Enrollment ID: O20130304000132
Entity NameEpss North Region Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194282707
PECOS PAC ID: 0345582474
Enrollment ID: O20190422000388
Entity NameRiverside Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548969181
PECOS PAC ID: 6204294119
Enrollment ID: O20230626002054

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 Dimitrios T Mougolias 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 AddressPractice Location Address
Dr Dimitrios T Mougolias, MD
181 W Olive St,
Elmhurst, IL 60126-3909

Ph: (708) 870-8289		Dr Dimitrios T Mougolias, MD
801 S Milwaukee Ave,
Libertyville, IL 60048-3204

Ph: (847) 990-2075

Reviews and Comments


Emergency Medicine Doctors in Libertyville, IL

Shahab Kazi, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 847-362-2900    
Dr. Peter Kurko, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 847-362-2900    Fax: 847-740-2505
Dr. Katherine Tokarczyk, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 847-990-5300    
Roy Horras, M.D., FACEP
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 847-362-2900    
Dr. Mark Phillipe Oquist-cardenas, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 847-990-5300    
Dr. Valerie Ann Schmidt, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 414-290-6720    Fax: 414-290-6755

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.