Dr Ted G Van Acker, DO is a medicare enrolled "Dermatology" physician in Herrin, Illinois. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Southern Illinois Dermatology, Pc and his current practice location is
220 N Park Ave, Suite 2, Herrin, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 942-3344.
Dr Ted G Van Acker is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720025562.
Physician's Profile
| Full Name | Dr Ted G Van Acker |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 32 Years |
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| Location | 220 N Park Ave, Herrin, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ted G Van Acker attended and graduated from Michigan State University College Of Osteopathic Medicine in 1992
NPI Data:
- NPI Number: 1720025562
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5092702530
- Enrollment ID: I20040805000080
Medical Identifiers
Medical identifiers for Dr Ted G Van Acker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720025562 | NPI | - | NPPES |
| CB3700 | Other | IL | RAILROAD MEDICARE GRP # |
| 290730 | Other | IL | HEALTHLINK PROV NUMBER |
| 10007459 | Other | IL | BCBS GROUP NUMBER |
| L84853 | Other | IL | UMWA PROVIDER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern Illinois Dermatology, Pc | 2769479203 | 13 |
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 Ted G Van Acker allows following entities to bill medicare on his behalf.
| Entity Name | Southern Illinois Dermatology, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306870233
PECOS PAC ID: 2769479203
Enrollment ID: O20040427001593 |
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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 Ted G Van Acker 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 Ted G Van Acker, DO
220 N Park Ave, Suite 2,
Herrin, IL 62948-3150
Ph: (618) 942-3344 | Dr Ted G Van Acker, DO
220 N Park Ave, Suite 2,
Herrin, IL 62948-3150
Ph: (618) 942-3344 |
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