Dr Roman M Smyk, MD is a medicare enrolled "Surgery" physician in Coal City, Illinois. His current practice location is
460 N Broadway St, Coal City, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 634-2592.
Dr Roman M Smyk is licensed to practice in Illinois (license number 036066804) 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 1467487975.
Physician's Profile
Full Name | Dr Roman M Smyk |
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Gender | Male |
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Speciality | Surgery |
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Location | 460 N Broadway St, Coal City, 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: 1467487975
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 04/20/2011
Medicare PECOS Information:
- PECOS PAC ID: 8628020351
- Enrollment ID: I20050210000675
Medical Identifiers
Medical identifiers for Dr Roman M Smyk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467487975 | NPI | - | NPPES |
03606684 | Medicaid | IL | |
040002092 | Other | IL | RAILROAD MEDICARE |
3200048 | Other | IL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 036066804 (Illinois) | Primary |
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 Roman M Smyk 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 Roman M Smyk, MD 35 E Willow St Ste B, Coal City, IL 60416-1869 Ph: (815) 634-3048 | Dr Roman M Smyk, MD 460 N Broadway St, Coal City, IL 60416-1045 Ph: (815) 634-2592 |
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