Raul Cayabyah Tamayo, MD is a medicare enrolled "Pediatrics" physician in Riverside, Illinois. His current practice location is
3722 Harlem Ave, Suite 200, Riverside, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 447-4999.
Raul Cayabyah Tamayo is licensed to practice in Illinois (license number 36088353) 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 1700814183.
Physician's Profile
Full Name | Raul Cayabyah Tamayo |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 3722 Harlem Ave, Riverside, 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: 1700814183
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3173527694
- Enrollment ID: I20060914000045
Medical Identifiers
Medical identifiers for Raul Cayabyah Tamayo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700814183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 36088353 (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. Raul Cayabyah Tamayo allows following entities to bill medicare on his behalf.
Entity Name | Loyola Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
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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. Raul Cayabyah Tamayo 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 |
Raul Cayabyah Tamayo, MD 2368 Paysphere Cir, Chicago, IL 60674-0023 Ph: () - | Raul Cayabyah Tamayo, MD 3722 Harlem Ave, Suite 200, Riverside, IL 60546-2312 Ph: (708) 447-4999 |
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