Gail E Prendergast, MD is a
Hospitalist physician based in Dixon, Illinois. Gail E Prendergast is licensed to practice in Illinois (license number 036-102246) and her current practice location is 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 285-5629.
NPI number for Gail E Prendergast is 1548294184 and her current mailing address is 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548294184.
Physician's Profile
Full Name | Gail E Prendergast |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 403 E. 1st Street, Dixon, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548294184
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 09/05/2018
Medical Identifiers
Medical identifiers for Gail E Prendergast such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548294184 | NPI | - | NPPES |
036102246 | Medicaid | IL | |
F400261482 | Other | IL | MEDICARE PTAN |
0222075 | Other | IL | BLUE CROSS GROUP NUMER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 036102246 (Illinois) | Secondary |
208M00000X | Hospitalist | 036-102246 (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. Gail E Prendergast is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gail E Prendergast, MD 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 Ph: (815) 285-5629 | Gail E Prendergast, MD 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 Ph: (815) 285-5629 |
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