Abigail Marroquin, is a medicare enrolled "Dietitian, Registered" provider in Chicago, Illinois. Her current practice location is
2600 S Michigan Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 492-0025.
Abigail Marroquin is licensed to practice in Illinois (license number 164008166) 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 1417553835.
Healthcare Provider's Profile
| Full Name | Abigail Marroquin |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 2600 S Michigan Ave, Chicago, 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: 1417553835
- Provider Enumeration Date: 12/10/2020
- Last Update Date: 04/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 6800209065
- Enrollment ID: I20210106002941
Medical Identifiers
Medical identifiers for Abigail Marroquin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417553835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 164008166 (Illinois) | Secondary |
| 133V00000X | Dietitian, Registered | 164008166 (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. Abigail Marroquin allows following entities to bill medicare on her behalf.
| Entity Name | The Board Of Trustees Of The University Of Illinois |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158 |
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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. Abigail Marroquin 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 |
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Abigail Marroquin,
5336 W Cuyler Ave,
Chicago, IL 60641-1340
Ph: (773) 266-3777 | Abigail Marroquin,
2600 S Michigan Ave,
Chicago, IL 60616-2857
Ph: (312) 492-0025 |
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