Cole David Lundquist, MD is a medicare enrolled "Dermatology" physician in Park Ridge, Illinois. He graduated from medical school in 1977 and has 48 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermatology Associates Of Indy Llc and his current practice location is
1875 W Dempster St, Ste 660, Park Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 698-1210.
Cole David Lundquist is licensed to practice in Illinois (license number 036056878) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982688891.
Physician's Profile
| Full Name | Cole David Lundquist |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Experience | 48 Years |
|---|
| Location | 1875 W Dempster St, Park Ridge, Illinois |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Cole David Lundquist graduated from medical school in 1977
NPI Data:
- NPI Number: 1982688891
- Provider Enumeration Date: 12/05/2005
- Last Update Date: 11/11/2008
Medicare PECOS Information:
- PECOS PAC ID: 8022205442
- Enrollment ID: I20150729010243
Medical Identifiers
Medical identifiers for Cole David Lundquist such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982688891 | NPI | - | NPPES |
| 036056878 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 036056878 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Dermatology Associates Of Indy Llc | 1658697453 | 2 |
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. Cole David Lundquist allows following entities to bill medicare on his behalf.
| Entity Name | Dermatology Associates Of Indy Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1962808774 PECOS PAC ID: 1658697453 Enrollment ID: O20150312002083 |
|---|
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. Cole David Lundquist 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 |
Cole David Lundquist, MD 7447 W. Talcott Ave, Suite 321, Chicago, IL 60631 Ph: (773) 774-7122 | Cole David Lundquist, MD 1875 W Dempster St, Ste 660, Park Ridge, IL 60068-1186 Ph: (847) 698-1210 |
Reviews and Comments