Donna Marie Economos, MD is a medicare enrolled "Family Medicine" physician in Ingleside, Illinois. Her current practice location is
727 Grand Ave, Ingleside, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 973-9640.
Donna Marie Economos is licensed to practice in Illinois (license number 036097697) 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 1770709644.
Physician's Profile
| Full Name | Donna Marie Economos |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 727 Grand Ave, Ingleside, 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: 1770709644
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 02/16/2010
Medicare PECOS Information:
- PECOS PAC ID: 8628148749
- Enrollment ID: I20080602000480
Medical Identifiers
Medical identifiers for Donna Marie Economos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770709644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 036097697 (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. Donna Marie Economos allows following entities to bill medicare on her behalf.
| Entity Name | Dean S. Economos, Md, Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467628461
PECOS PAC ID: 8921178047
Enrollment ID: O20080602000447 |
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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. Donna Marie Economos 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 |
|---|
Donna Marie Economos, MD
727 Grand Ave,
Ingleside, IL 60041-9748
Ph: (847) 973-9640 | Donna Marie Economos, MD
727 Grand Ave,
Ingleside, IL 60041-9748
Ph: (847) 973-9640 |
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