Dr Elaine Ferginia Ferguson, MD is a medicare enrolled "Family Medicine" physician in Bedford Park, Illinois. Her current practice location is
6801 W 73rd St, Room 117, Bedford Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 563-7674.
Dr Elaine Ferginia Ferguson is licensed to practice in Illinois (license number ) 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 1447399290.
Physician's Profile
Full Name | Dr Elaine Ferginia Ferguson |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 6801 W 73rd St, Bedford Park, 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: 1447399290
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9638072473
- Enrollment ID: I20040129000762
Medical Identifiers
Medical identifiers for Dr Elaine Ferginia Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447399290 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | (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 Elaine Ferginia Ferguson allows following entities to bill medicare on her behalf.
Entity Name | Excellent Medical Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215223623 PECOS PAC ID: 1355506817 Enrollment ID: O20120706000494 |
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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 Elaine Ferginia Ferguson 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 Elaine Ferginia Ferguson, MD 6801 W 73rd St, Room 117, Bedford Park, IL 60499-9201 Ph: (708) 563-7674 | Dr Elaine Ferginia Ferguson, MD 6801 W 73rd St, Room 117, Bedford Park, IL 60499-9201 Ph: (708) 563-7674 |
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