Dr Kevin Tom, DO in Hazel Crest, IL - Medicare Emergency Medicine

Dr Kevin Tom, DO is a medicare enrolled "Emergency Medicine" physician in Hazel Crest, Illinois. His current practice location is 17800 Kedzie Ave, Hazel Crest, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 213-4200.

Dr Kevin Tom is licensed to practice in Illinois (license number 036-166065) 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 1053990895.

Contact Information

	Dr Kevin Tom, DO
	17800 Kedzie Ave, Hazel Crest, IL 60429-2029
	(708) 213-4200
	(773) 967-4205

Map and Direction

Physician's Profile

Full Name	Dr Kevin Tom
Gender	Male
Speciality	Emergency Medicine
Location	17800 Kedzie Ave, Hazel Crest, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053990895
Provider Enumeration Date: 04/07/2021
Last Update Date: 08/07/2025

Medicare PECOS Information:

PECOS PAC ID: 4385097963
Enrollment ID: I20240131000151

Medical Identifiers

Medical identifiers for Dr Kevin Tom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053990895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036-166065 (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 Kevin Tom allows following entities to bill medicare on his behalf.

Entity Name	Foundation For Emergency Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467468280 PECOS PAC ID: 4981504198 Enrollment ID: O20040113000338

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 Kevin Tom 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 Kevin Tom, DO 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900	Dr Kevin Tom, DO 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 Ph: (708) 213-4200

Reviews and Comments

Emergency Medicine Doctors in Hazel Crest, IL

Dr. Ronald Lawton, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Emergency Department, Hazel Crest, IL 60429 Phone: 773-363-1090
Lindy Triebes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200
Veronica W Robinson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 Fax: 708-213-0144
Gameli Dekayie Bush, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 708-213-0144
Dr. Nadija Mara Rieser, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 708-213-0144
Zakia Haseena Ali, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 Fax: 708-213-0144

Dr Kevin Tom, DO - Medicare Emergency Medicine in Hazel Crest, IL