Dr Elizabeth Nord Fahrenbach, MD is a medicare enrolled "Dermatology" physician in Niles, Illinois. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice North Branch Dermatology Llc and her current practice location is
7411 N Milwaukee Ave, Niles, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 763-6000.
Dr Elizabeth Nord Fahrenbach is licensed to practice in Illinois (license number 125.056349) 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 1609003557.
Physician's Profile
| Full Name | Dr Elizabeth Nord Fahrenbach |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 15 Years |
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| Location | 7411 N Milwaukee Ave, Niles, 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:
- Dr Elizabeth Nord Fahrenbach attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2009
NPI Data:
- NPI Number: 1609003557
- Provider Enumeration Date: 06/18/2009
- Last Update Date: 06/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395979116
- Enrollment ID: I20141106001356
Medical Identifiers
Medical identifiers for Dr Elizabeth Nord Fahrenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609003557 | NPI | - | NPPES |
| 1609003557 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | 60769-20 (Wisconsin) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 60769-20 (Wisconsin) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 60769-20 (Wisconsin) | Secondary |
| 207N00000X | Dermatology | 125.056349 (Illinois) | Primary |
| 207N00000X | Dermatology | 60769-20 (Wisconsin) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 60769-20 (Wisconsin) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Branch Dermatology Llc | 8921220914 | 5 |
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 Elizabeth Nord Fahrenbach allows following entities to bill medicare on her behalf.
| Entity Name | North Branch Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154721348
PECOS PAC ID: 8921220914
Enrollment ID: O20141106001126 |
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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 Elizabeth Nord Fahrenbach 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 Elizabeth Nord Fahrenbach, MD
7411 N Milwaukee Ave,
Niles, IL 60714-3707
Ph: (773) 763-6000 | Dr Elizabeth Nord Fahrenbach, MD
7411 N Milwaukee Ave,
Niles, IL 60714-3707
Ph: (773) 763-6000 |
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