Loreli Munford, is a medicare enrolled "Internal Medicine" physician in Machesney Park, Illinois. Her current practice location is
10100 Forest Hills Rd, Machesney Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 713-2742.
Loreli Munford is licensed to practice in Illinois (license number 036-120782) 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 1275591430.
Physician's Profile
| Full Name | Loreli Munford |
|---|
| Gender | Female |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 10100 Forest Hills Rd, Machesney Park, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1275591430
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 09/04/2009
Medicare PECOS Information:
- PECOS PAC ID: 4284649385
- Enrollment ID: I20060210000268
Medical Identifiers
Medical identifiers for Loreli Munford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275591430 | NPI | - | NPPES |
| 284141 | Medicaid | SC | |
| 036-120782 | Other | IL | ILLINOIS STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 28414 (South Carolina) | Secondary |
| 207R00000X | Internal Medicine | 036-120782 (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. Loreli Munford allows following entities to bill medicare on her behalf.
| Entity Name | Munford Medical Care Services Mmcs Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1295089928
PECOS PAC ID: 2062663008
Enrollment ID: O20121121000310 |
|---|
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. Loreli Munford 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 |
|---|
Loreli Munford,
10100 Forest Hills Rd,
Machesney Park, IL 61115-8234
Ph: (815) 713-2742 | Loreli Munford,
10100 Forest Hills Rd,
Machesney Park, IL 61115-8234
Ph: (815) 713-2742 |
Reviews and Comments