Michael R Dantzer, MD is a medicare enrolled "Pediatrics" physician in Yorkville, Illinois. His current practice location is
1500 Sycamore Rd, Suite 1000, Yorkville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 553-4470.
Michael R Dantzer is licensed to practice in Illinois (license number 036-082790) 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 1124044474.
Physician's Profile
Full Name | Michael R Dantzer |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1500 Sycamore Rd, Yorkville, 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: 1124044474
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 11/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 8123010550
- Enrollment ID: I20040402000997
Medical Identifiers
Medical identifiers for Michael R Dantzer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124044474 | NPI | - | NPPES |
036082790 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036-082790 (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 R Dantzer allows following entities to bill medicare on his behalf.
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: 1003542184 PECOS PAC ID: 7810800935 Enrollment ID: O20220930002728 |
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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 R Dantzer 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 R Dantzer, MD 2357 Sequoia Dr, Aurora, IL 60506-6222 Ph: (630) 859-6800 | Michael R Dantzer, MD 1500 Sycamore Rd, Suite 1000, Yorkville, IL 60560-1906 Ph: (630) 553-4470 |
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