Dr Daniel Alexander Bakston, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Maywood, Illinois. His current practice location is
2160 S 1st Ave, Maywood, Illinois. You can reach out to his office (for appointments etc.) via phone at
(888) 584-7888.
Dr Daniel Alexander Bakston is licensed to practice in Illinois (license number 036132917) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821305269.
Physician's Profile
| Full Name | Dr Daniel Alexander Bakston |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2160 S 1st Ave, Maywood, 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: 1821305269
- Provider Enumeration Date: 09/07/2010
- Last Update Date: 05/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476838921
- Enrollment ID: I20240731004838
Medical Identifiers
Medical identifiers for Dr Daniel Alexander Bakston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821305269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | 125060324 (Illinois) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 01080808A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 036132917 (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. Dr Daniel Alexander Bakston allows following entities to bill medicare on his 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. Dr Daniel Alexander Bakston 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 |
|---|
Dr Daniel Alexander Bakston, MD
2160 S 1st Ave,
Maywood, IL 60153-3328
Ph: (888) 584-7888 | Dr Daniel Alexander Bakston, MD
2160 S 1st Ave,
Maywood, IL 60153-3328
Ph: (888) 584-7888 |
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