Dr Mark Christopher Gillis, MD is a medicare enrolled "Family Medicine" physician in Itasca, Illinois. His current practice location is
1300 N Arlington Heights Rd Ste 130, Itasca, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 871-4540.
Dr Mark Christopher Gillis is licensed to practice in Illinois (license number 036078671) 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 1992806509.
Physician's Profile
| Full Name | Dr Mark Christopher Gillis |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1300 N Arlington Heights Rd Ste 130, Itasca, 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: 1992806509
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 08/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 7315938917
- Enrollment ID: I20061129000491
Medical Identifiers
Medical identifiers for Dr Mark Christopher Gillis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992806509 | NPI | - | NPPES |
| 036078671 | Medicaid | IL | |
| 399980 | Other | | MEDICARE GROUP PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 036078671 (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 Mark Christopher Gillis allows following entities to bill medicare on his behalf.
| Entity Name | Dupage Medical Group Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20031110000535 |
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| 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 Mark Christopher Gillis 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 Mark Christopher Gillis, MD
Po Box 713260,
Chicago, IL 60677-1260
Ph: (630) 469-9200 | Dr Mark Christopher Gillis, MD
1300 N Arlington Heights Rd Ste 130,
Itasca, IL 60143-3128
Ph: (847) 871-4540 |
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