Dr Philip Peter Serafin, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Evanston, Illinois. His current practice location is
2650 Ridge Ave # 1223, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 982-3172.
Dr Philip Peter Serafin is licensed to practice in * (Not Available) (license number ) 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 1831718246.
Physician's Profile
Full Name | Dr Philip Peter Serafin |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2650 Ridge Ave # 1223, Evanston, 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: 1831718246
- Provider Enumeration Date: 04/15/2020
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032532767
- Enrollment ID: I20230712000052
Medical Identifiers
Medical identifiers for Dr Philip Peter Serafin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831718246 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 036162518 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Peter Serafin allows following entities to bill medicare on his behalf.
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
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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 Peter Serafin 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 Peter Serafin, DO 135 N Oak St, Hinsdale, IL 60521-3860 Ph: (630) 856-8909 | Dr Philip Peter Serafin, DO 2650 Ridge Ave # 1223, Evanston, IL 60201-1700 Ph: (847) 982-3172 |
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