Dr Philip Cyrus Fanapour, DO is a medicare enrolled "Anesthesiology - Critical Care Medicine" physician in North Chicago, Illinois. His current practice location is
3001 Green Bay Rd, North Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(224) 610-1900.
Dr Philip Cyrus Fanapour is licensed to practice in Illinois (license number 036139602) 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 1003107962.
Physician's Profile
Full Name | Dr Philip Cyrus Fanapour |
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Gender | Male |
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Speciality | Anesthesiology - Critical Care Medicine |
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Location | 3001 Green Bay Rd, North Chicago, 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: 1003107962
- Provider Enumeration Date: 04/27/2011
- Last Update Date: 07/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749412732
- Enrollment ID: I20161004002925
Medical Identifiers
Medical identifiers for Dr Philip Cyrus Fanapour such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003107962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 036139602 (Illinois) | Secondary |
207LC0200X | Anesthesiology - Critical Care Medicine | 036139602 (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 Philip Cyrus Fanapour allows following entities to bill medicare on his behalf.
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
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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 Philip Cyrus Fanapour 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 Philip Cyrus Fanapour, DO 3001 Green Bay Rd, North Chicago, IL 60064-3048 Ph: (224) 610-1900 | Dr Philip Cyrus Fanapour, DO 3001 Green Bay Rd, North Chicago, IL 60064-3048 Ph: (224) 610-1900 |
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