Nicholas P Guisto Iii, MD is a medicare enrolled "Anesthesiology" physician in Lansing, Illinois. His current practice location is
18221 Torrence Ave, Lansing, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 886-3026.
Nicholas P Guisto Iii is licensed to practice in Illinois (license number 036111870) 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 1740290055.
Physician's Profile
Full Name | Nicholas P Guisto Iii |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 18221 Torrence Ave, Lansing, 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: 1740290055
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 04/18/2012
Medicare PECOS Information:
- PECOS PAC ID: 0244237899
- Enrollment ID: I20061025000181
Medical Identifiers
Medical identifiers for Nicholas P Guisto Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740290055 | NPI | - | NPPES |
036111870 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 036111870 (Illinois) | Primary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 036111870 (Illinois) | Secondary |
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. Nicholas P Guisto Iii allows following entities to bill medicare on his behalf.
Entity Name | Stat Anesthesia Specialists Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992754089 PECOS PAC ID: 8123031473 Enrollment ID: O20060824000282 |
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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. Nicholas P Guisto Iii 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 |
Nicholas P Guisto Iii, MD 18221 Torrence Ave, Lansing, IL 60438-2870 Ph: (630) 886-3026 | Nicholas P Guisto Iii, MD 18221 Torrence Ave, Lansing, IL 60438-2870 Ph: (630) 886-3026 |
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