Michael Lavine, MD in Glen Ellyn, IL

Michael Lavine, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Glen Ellyn, Illinois. His current practice location is 430 Pennsylvania Ave, Glen Ellyn, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 469-9200.

Michael Lavine is licensed to practice in Illinois (license number 036063940) 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 1619943586.

Contact Information

	Michael Lavine, MD
	430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464
	(630) 469-9200
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael Lavine
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	430 Pennsylvania Ave, Glen Ellyn, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619943586
Provider Enumeration Date: 02/28/2006
Last Update Date: 10/02/2019

Medicare PECOS Information:

PECOS PAC ID: 8022903483
Enrollment ID: I20040216001150

Medical Identifiers

Medical identifiers for Michael Lavine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619943586	NPI	-	NPPES
036063940	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	036063940 (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 Lavine allows following entities to bill medicare on his behalf.

Entity Name	Dupage Medical Group Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535

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 Lavine 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
Michael Lavine, MD 1860 Paysphere Cir, Chicago, IL 60674-0018 Ph: (630) 469-9200	Michael Lavine, MD 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 Ph: (630) 469-9200

Reviews and Comments

Radiology Doctors in Glen Ellyn, IL

Dr. Lekshmi Nair, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave # 110, Glen Ellyn, IL 60137 Phone: 630-946-2020
Mary Lyn Kurland, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200
Dr. Ehsan Safari, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave, 110, Glen Ellyn, IL 60137 Phone: 630-545-7880
Kimberly Klinger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave Ste 110, Glen Ellyn, IL 60137 Phone: 630-946-2020 Fax: 630-432-6754
Linda Gruener, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200
Sabira Khalil, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200
Kyle Kallenbach, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200

Michael Lavine, MD - Medicare Radiology in Glen Ellyn, IL