Diana Leigh Vork, is a medicare enrolled "Dermatology" physician in Shiloh, Illinois. She went to Mayo Medical School and graduated in 2017 and has 8 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Metro East Dermatology And Skin Cancer Center Llc and her current practice location is
1191 Fortune Blvd Ste 2, Shiloh, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 622-7546.
Diana Leigh Vork is licensed to practice in Illinois (license number 036156222) 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 1871028316.
Physician's Profile
| Full Name | Diana Leigh Vork |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 8 Years |
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| Location | 1191 Fortune Blvd Ste 2, Shiloh, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Diana Leigh Vork attended and graduated from Mayo Medical School in 2017
NPI Data:
- NPI Number: 1871028316
- Provider Enumeration Date: 04/21/2017
- Last Update Date: 09/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 1254683246
- Enrollment ID: I20210611000004
Medical Identifiers
Medical identifiers for Diana Leigh Vork such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871028316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 64202 (Minnesota) | Secondary |
| 207N00000X | Dermatology | 036156222 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Metro East Dermatology And Skin Cancer Center Llc | 9739451956 | 8 |
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. Diana Leigh Vork allows following entities to bill medicare on her behalf.
| Entity Name | Metro East Dermatology & Skin Cancer Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518494996
PECOS PAC ID: 9739451956
Enrollment ID: O20170823003092 |
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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. Diana Leigh Vork 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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Diana Leigh Vork,
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 | Diana Leigh Vork,
1191 Fortune Blvd Ste 2,
Shiloh, IL 62269-7474
Ph: (618) 622-7546 |
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