Paoula Dyanova, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Wheaton, Illinois. Her current practice location is
26w171 Roosevelt Rd, Wheaton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 909-7000.
Paoula Dyanova is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962928259.
Healthcare Provider's Profile
| Full Name | Paoula Dyanova |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 26w171 Roosevelt Rd, Wheaton, 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: 1962928259
- Provider Enumeration Date: 08/17/2017
- Last Update Date: 09/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426432691
- Enrollment ID: I20220907002848
Medical Identifiers
Medical identifiers for Paoula Dyanova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962928259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 071010818 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Paoula Dyanova allows following entities to bill medicare on her behalf.
| Entity Name | Central Dupage Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601 |
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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. Paoula Dyanova 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 |
|---|
Paoula Dyanova,
26w171 Roosevelt Rd,
Wheaton, IL 60187-6002
Ph: (630) 909-7000 | Paoula Dyanova,
26w171 Roosevelt Rd,
Wheaton, IL 60187-6002
Ph: (630) 909-7000 |
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