Dr Dorothy T Prusek, MD - Medicare Internal Medicine in Elmhurst, IL

Dr Dorothy T Prusek, MD is a medicare enrolled "Internal Medicine" physician in Elmhurst, Illinois. She graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Edward Health Ventures and her current practice location is 755 N York St, Elmhurst, Illinois. You can reach out to her office (for appointments etc.) via phone at (331) 221-2900.

Dr Dorothy T Prusek is licensed to practice in Illinois (license number 036081546) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871592378.

Contact Information

Dr Dorothy T Prusek, MD
755 N York St,
Elmhurst, IL 60126-1607
(331) 221-2900
(331) 221-2733

Map and Direction




Physician's Profile

Full NameDr Dorothy T Prusek
GenderFemale
SpecialityInternal Medicine
Experience37 Years
Location755 N York St, Elmhurst, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Dorothy T Prusek graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1871592378
  • Provider Enumeration Date: 07/18/2005
  • Last Update Date: 02/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0345221115
  • Enrollment ID: I20040527000247

Medical Identifiers

Medical identifiers for Dr Dorothy T Prusek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871592378NPI-NPPES
036081546MedicaidIL
02232472OtherILBLUE CROSS/BLUE SHIELD #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036081546 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Residential Home HealthDowners grove, ILHome health agency
Elmhurst Memorial HospitalElmhurst, ILHospital
Edward HospitalNaperville, ILHospital
Loyola University Medical CenterMaywood, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Edward Health Ventures4284531484510

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. Dr Dorothy T Prusek allows following entities to bill medicare on her behalf.
Entity NameEdward Health Ventures
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962452912
PECOS PAC ID: 4284531484
Enrollment ID: O20031216000616
Entity NameNorthshore University Healthsystem Faculty Practice Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118

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. Dr Dorothy T Prusek 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 AddressPractice Location Address
Dr Dorothy T Prusek, MD
755 N York St,
Elmhurst, IL 60126-1607

Ph: (331) 221-2900
Dr Dorothy T Prusek, MD
755 N York St,
Elmhurst, IL 60126-1607

Ph: (331) 221-2900

Reviews and Comments


Internal Medicine Doctors in Elmhurst, IL

William T O'rourke, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 172 E Schiller St, Elmhurst, IL 60126
Phone: 331-221-0000    Fax: 331-221-2312
Maelen M Pantano, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 172 Schiller St, Elmhurst, IL 60126
Phone: 331-221-9001    Fax: 331-221-2315
Ramier J Lehne,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1200 S York St Ste 2000, Elmhurst, IL 60126
Phone: 331-221-9199    
Barbara E Potaczek, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126
Phone: 331-221-8952    Fax: 331-221-3782
Dr. Lalitha Dileep-ansal, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126
Phone: 331-221-8952    Fax: 331-221-3782
Dr. Omar Shamsi, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 S York St, Suite 1240, Elmhurst, IL 60126
Phone: 331-221-6140    Fax: 331-221-3838
Dhara Naik, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 172 E Schiller St, Elmhurst, IL 60126
Phone: 331-221-0000    Fax: 331-221-2312

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.