Mercedes Mary Land, is a medicare enrolled "Physician Assistant" physician in Chicago, Illinois. Her current practice location is
2320 E 93rd St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 967-5436.
Mercedes Mary Land is licensed to practice in Illinois (license number 085-010088) 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 1881316206.
Physician's Profile
Full Name | Mercedes Mary Land |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2320 E 93rd St, Chicago, 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: 1881316206
- Provider Enumeration Date: 09/13/2022
- Last Update Date: 01/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698124295
- Enrollment ID: I20231207003059
Medical Identifiers
Medical identifiers for Mercedes Mary Land such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881316206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 085.010088 (Illinois) | Secondary |
363A00000X | Physician Assistant | 085-010088 (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. Mercedes Mary Land 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 |
Mercedes Mary Land, 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Mercedes Mary Land, 2320 E 93rd St, Chicago, IL 60617-3909 Ph: (773) 967-5436 |
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