Dr William C Dam, MD is a medicare enrolled "Internal Medicine" physician in Ingleside, Illinois. His current practice location is
214 Washington St, Ingleside, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 587-3004.
Dr William C Dam is licensed to practice in Illinois (license number 036047653) 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 1447236229.
Physician's Profile
Full Name | Dr William C Dam |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 214 Washington St, Ingleside, 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: 1447236229
- Provider Enumeration Date: 12/22/2005
- Last Update Date: 01/30/2013
Medicare PECOS Information:
- PECOS PAC ID: 2860558475
- Enrollment ID: I20090306000065
Medical Identifiers
Medical identifiers for Dr William C Dam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447236229 | NPI | - | NPPES |
B4900842 | Other | IL | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 036047653 (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 William C Dam allows following entities to bill medicare on his behalf.
Entity Name | William C Dam Md Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760632459 PECOS PAC ID: 2769548379 Enrollment ID: O20090306000075 |
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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 William C Dam 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 William C Dam, MD 214 Washington St, Ingleside, IL 60041 Ph: (847) 587-3004 | Dr William C Dam, MD 214 Washington St, Ingleside, IL 60041 Ph: (847) 587-3004 |
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