Dr Gunilla Sigrid Carlsson Thorn, MD is a medicare enrolled "Dermatology" physician in St Charles, Illinois. She went to Northwestern University Feinberg Medical School and graduated in 2008 and has 17 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Central Dupage Physician Group and her current practice location is
2900 Foxfield Rd, St Charles, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 315-6500.
Dr Gunilla Sigrid Carlsson Thorn is licensed to practice in Illinois (license number AN52403945287) 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 1174779755.
Physician's Profile
| Full Name | Dr Gunilla Sigrid Carlsson Thorn |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 17 Years |
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| Location | 2900 Foxfield Rd, St Charles, 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 Gunilla Sigrid Carlsson Thorn attended and graduated from Northwestern University Feinberg Medical School in 2008
NPI Data:
- NPI Number: 1174779755
- Provider Enumeration Date: 08/14/2008
- Last Update Date: 08/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 4880828862
- Enrollment ID: I20131004000543
Medical Identifiers
Medical identifiers for Dr Gunilla Sigrid Carlsson Thorn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174779755 | NPI | - | NPPES |
| CA4748 | Other | IL | MEDICARE RR (GROUP) |
| 036132093 | Medicaid | IL | |
| 206147 | Other | IL | MEDICARE (GROUP) |
| F400094850 | Other | IL | MEDICARE (INDIVIDUAL) |
| P01324606 | Other | IL | MEDICARE RR (INDIVIDUAL) |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | AN52403945287 (Illinois) | Primary |
| 207R00000X | Internal Medicine | AN52403945287 (Illinois) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Central Dupage Physician Group | 5890696231 | 1005 |
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 Gunilla Sigrid Carlsson Thorn allows following entities to bill medicare on her behalf.
| Entity Name | Central Dupage Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601 |
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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 Gunilla Sigrid Carlsson Thorn 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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Dr Gunilla Sigrid Carlsson Thorn, MD
2900 Foxfield Rd,
St Charles, IL 60174-5799
Ph: (630) 315-6500 | Dr Gunilla Sigrid Carlsson Thorn, MD
2900 Foxfield Rd,
St Charles, IL 60174-5799
Ph: (630) 315-6500 |
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