Dr Peter Lourgos, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Niles, Illinois. His current practice location is
7447 W Lawler Ave, Niles, Illinois. You can reach out to his office (for appointments etc.) via phone at
(855) 629-0554.
Dr Peter Lourgos is licensed to practice in Illinois (license number 036-105249) 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 1073644092.
Physician's Profile
| Full Name | Dr Peter Lourgos |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 7447 W Lawler Ave, Niles, 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: 1073644092
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305940453
- Enrollment ID: I20070329000029
Medical Identifiers
Medical identifiers for Dr Peter Lourgos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073644092 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 61262 (Tennessee) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 11699556-1205 (Utah) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35677 (Oklahoma) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 19711 (Nevada) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D89075 (Maryland) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 32439 (Nebraska) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 67019 (Minnesota) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD61053703 (Washington) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 04-43064 (Kansas) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 525-320 (Wisconsin) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD-47140 (Iowa) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 60849 (Arizona) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MED-PHYS-LIC-85278 (Montana) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | CDR.0000659 (Colorado) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036-105249 (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 Peter Lourgos allows following entities to bill medicare on his behalf.
| Entity Name | Mount Sinai Community Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376715896
PECOS PAC ID: 5991600405
Enrollment ID: O20040202001032 |
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| Entity Name | Will County Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902811714
PECOS PAC ID: 5395633317
Enrollment ID: O20040310000197 |
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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 Peter Lourgos 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 Peter Lourgos, MD
7447 W Lawler Ave,
Niles, IL 60714-3107
Ph: (708) 719-1695 | Dr Peter Lourgos, MD
7447 W Lawler Ave,
Niles, IL 60714-3107
Ph: (855) 629-0554 |
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