Dr Kevin Tom, DO - Medicare Emergency Medicine in Chicago, IL

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Dr Kevin Tom, DO is a medicare enrolled "Emergency Medicine" physician in Chicago, Illinois. His current practice location is 326 W 64th St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (739) 623-9007.

Dr Kevin Tom is licensed to practice in Illinois (license number 036-166065) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053990895.

Contact Information

Dr Kevin Tom, DO
326 W 64th St,
Chicago, IL 60621-3114
(739) 623-9007
Not Available

Map and Direction




Physician's Profile

Full NameDr Kevin Tom
GenderMale
SpecialityEmergency Medicine
Location326 W 64th St, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053990895
  • Provider Enumeration Date: 04/07/2021
  • Last Update Date: 10/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385097963
  • Enrollment ID: I20240131000151

Medical Identifiers

Medical identifiers for Dr Kevin Tom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053990895NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036-166065 (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 Kevin Tom allows following entities to bill medicare on his behalf.
Entity NameFoundation For Emergency Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467468280
PECOS PAC ID: 4981504198
Enrollment ID: O20040113000338

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 Kevin Tom 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 Kevin Tom, DO
7644 Davis St,
Morton Grove, IL 60053-1879

Ph: (847) 636-8496		Dr Kevin Tom, DO
326 W 64th St,
Chicago, IL 60621-3114

Ph: (739) 623-9007

Reviews and Comments


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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).

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