Dr Nicole Michele Gastala, MD in Chicago, IL

Dr Nicole Michele Gastala, MD is a medicare enrolled "Family Medicine" physician in Chicago, Illinois. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Board Of Trustees Of The University Of Illinois and her current practice location is 1220 S Wood St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 642-6875.

Dr Nicole Michele Gastala is licensed to practice in Illinois (license number 036.145379) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912260571.

Contact Information

	Dr Nicole Michele Gastala, MD
	1220 S Wood St, Chicago, IL 60608
	(708) 642-6875
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Nicole Michele Gastala
Gender	Female
Speciality	Family Practice
Experience	12 Years
Location	1220 S Wood St, Chicago, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Nicole Michele Gastala attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2012

NPI Data:

NPI Number: 1912260571
Provider Enumeration Date: 06/19/2012
Last Update Date: 11/22/2018

Medicare PECOS Information:

PECOS PAC ID: 7810130648
Enrollment ID: I20180726001254

Medical Identifiers

Medical identifiers for Dr Nicole Michele Gastala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912260571	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	41628 (Iowa)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	R 9515 (Iowa)	Secondary
207Q00000X	Family Medicine	036.145379 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Board Of Trustees Of The University Of Illinois	3072422716	923

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 Nicole Michele Gastala allows following entities to bill medicare on her behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669493466 PECOS PAC ID: 3072422716 Enrollment ID: O20210415002293

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 Nicole Michele Gastala 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 Nicole Michele Gastala, MD 1515 S Prairie Ave Unit 1311, Chicago, IL 60605-3157 Ph: (708) 642-6875	Dr Nicole Michele Gastala, MD 1220 S Wood St, Chicago, IL 60608 Ph: (708) 642-6875

Reviews and Comments

Family Medicine Doctors in Chicago, IL

Dr. Ayesha Hussain, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2424 W. Peterson Ave, Chicago, IL 60659 Phone: 773-761-0300
Dr. Ernesto Estor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3525 W Peterson Ave, Suite 210, Chicago, IL 60659 Phone: 773-293-6671 Fax: 773-961-8102
Dr. Keri Leah Fair, M.D., PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 N Ravenswood Ave, 2nd Floor, Chicago, IL 60640 Phone: 773-561-7500 Fax: 773-561-7612
Maximiliano Luna Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200
Suyeun Ban, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S California Ave Ste L1026, Chicago, IL 60608 Phone: 773-257-6097
Dr. Gabrielle Denise Gay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 W Lake St, Chicago, IL 60644 Phone: 773-378-3347 Fax: 773-378-4028
Wilson Ching, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273

Dr Nicole Michele Gastala, MD - Medicare Family Practice in Chicago, IL