Dr Edward G Dolezal, MD is a medicare enrolled "Ophthalmology" physician in Crystal Lake, Illinois. He went to Illinois Medical College and graduated in 1983 and has 41 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
280 A Memorial Court, Crystal Lake, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 455-4222.
Dr Edward G Dolezal is licensed to practice in Illinois (license number 036070162) 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 1821045782.
Physician's Profile
Full Name | Dr Edward G Dolezal |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 41 Years |
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Location | 280 A Memorial Court, Crystal Lake, Illinois |
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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 Edward G Dolezal attended and graduated from Illinois Medical College in 1983
NPI Data:
- NPI Number: 1821045782
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 12/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789642026
- Enrollment ID: I20050104000486
Medical Identifiers
Medical identifiers for Dr Edward G Dolezal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821045782 | NPI | - | NPPES |
036070162 | Medicaid | IL | |
05625795 | Other | IL | BCBS IL |
180038854 | Other | | RAIL ROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 036-070162 (Illinois) | Secondary |
207W00000X | Ophthalmology | 036070162 (Illinois) | Primary |
Medical Facilities Affiliation
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 Edward G Dolezal allows following entities to bill medicare on his behalf.
Entity Name | Crystal Lake Ophthalmology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669530838 PECOS PAC ID: 1355309691 Enrollment ID: O20050103000657 |
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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 Edward G Dolezal 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 Edward G Dolezal, MD 280 A Memorial Court, Crystal Lake, IL 60014-6233 Ph: (815) 455-4222 | Dr Edward G Dolezal, MD 280 A Memorial Court, Crystal Lake, IL 60014-6233 Ph: (815) 455-4222 |
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