Dr Eileen Patrice Laurence, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Metropolis, Illinois. Her current practice location is
28 Chick St, Metropolis, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 524-2176.
Dr Eileen Patrice Laurence is licensed to practice in Illinois (license number 036054682) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780851428.
Physician's Profile
Full Name | Dr Eileen Patrice Laurence |
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Gender | Female |
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Speciality | Emergency Medicine - Emergency Medical Services |
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Location | 28 Chick St, Metropolis, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780851428
- Provider Enumeration Date: 05/12/2008
- Last Update Date: 07/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 9234115676
- Enrollment ID: I20101216001066
Medical Identifiers
Medical identifiers for Dr Eileen Patrice Laurence such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780851428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 036054682 (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 Eileen Patrice Laurence allows following entities to bill medicare on her behalf.
Entity Name | Illinois Emergency Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861633380 PECOS PAC ID: 2365341567 Enrollment ID: O20040107000479 |
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Entity Name | Illinois Emergency Staffing Solutions, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699915348 PECOS PAC ID: 7810044377 Enrollment ID: O20090421000050 |
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Entity Name | Hcc Region Ii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528237559 PECOS PAC ID: 1759453178 Enrollment ID: O20090529000084 |
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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 Eileen Patrice Laurence 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 Eileen Patrice Laurence, MD 26633 North Middleton Parkway, Mundelein, IL 60060-9124 Ph: (847) 256-4123 | Dr Eileen Patrice Laurence, MD 28 Chick St, Metropolis, IL 62960-2467 Ph: (618) 524-2176 |
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