Lauren Elise Watchmaker, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Maywood, Illinois. Her current practice location is
2160 S 1st Ave, Maywood, Illinois. You can reach out to her office (for appointments etc.) via phone at
(888) 584-7888.
Lauren Elise Watchmaker is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811647142.
Physician's Profile
Full Name | Lauren Elise Watchmaker |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2160 S 1st Ave, Maywood, 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: 1811647142
- Provider Enumeration Date: 03/28/2022
- Last Update Date: 03/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496116717
- Enrollment ID: I20230803000834
Medical Identifiers
Medical identifiers for Lauren Elise Watchmaker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811647142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 125080047 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Lauren Elise Watchmaker 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 |
Lauren Elise Watchmaker, 7435 W Talcott Ave, Medical Education, Yolanda Camacho, Chicago, IL 60631-3707 Ph: (773) 990-5261 | Lauren Elise Watchmaker, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (888) 584-7888 |
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