Michael D Villwock, APRN, CNP is a medicare enrolled "Nurse Practitioner" physician in Orland Park, Illinois. His current practice location is
15300 West Ave Ste 20, Orland Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 460-5550.
Michael D Villwock is licensed to practice in Illinois (license number 209001480) 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 1003999293.
Physician's Profile
| Full Name | Michael D Villwock |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 15300 West Ave Ste 20, Orland Park, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003999293
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 07/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244386241
- Enrollment ID: I20130911000134
Medical Identifiers
Medical identifiers for Michael D Villwock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003999293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 041-224149 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209001480 (Illinois) | Secondary |
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 209000502 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209001480 (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. Michael D Villwock allows following entities to bill medicare on his behalf.
| Entity Name | Northwestern Medical Faculty Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541 |
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| Entity Name | Advocate Health And Hospitals Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064 |
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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. Michael D Villwock 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 |
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Michael D Villwock, APRN, CNP
15300 West Ave Ste 20,
Orland Park, IL 60462-4504
Ph: (708) 460-5550 | Michael D Villwock, APRN, CNP
15300 West Ave Ste 20,
Orland Park, IL 60462-4504
Ph: (708) 460-5550 |
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