Evangeline De Sagun, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in West Burlington, Iowa. She graduated from medical school in 1987 and has 38 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Southeast Iowa Regional Medical Center Inc, Henry County Health Center Inc and her current practice location is
1221 S Gear Ave, West Burlington, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 768-1000.
Evangeline De Sagun is licensed to practice in Illinois (license number 036097387) 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 1356446322.
Physician's Profile
| Full Name | Evangeline De Sagun |
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| Gender | Female |
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| Speciality | Pathology |
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| Experience | 38 Years |
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| Location | 1221 S Gear Ave, West Burlington, Iowa |
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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:
- Evangeline De Sagun graduated from medical school in 1987
NPI Data:
- NPI Number: 1356446322
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 02/09/2016
Medicare PECOS Information:
- PECOS PAC ID: 8426238445
- Enrollment ID: I20140825000355
Medical Identifiers
Medical identifiers for Evangeline De Sagun such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356446322 | NPI | - | NPPES |
| 32913278 | Other | | CHAMPUS |
| P00047449 | Other | | RAILROAD MEDICARE |
| 009847 | Other | | HEALTH ALLIANCE |
| 1922250 | Other | IL | BCBS IL |
| 036097387 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036097387 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeast Iowa Regional Medical Center Inc | 3870496417 | 252 |
| Henry County Health Center Inc | 9638570740 | 38 |
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. Evangeline De Sagun allows following entities to bill medicare on her behalf.
| Entity Name | Southeast Iowa Regional Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164433884
PECOS PAC ID: 3870496417
Enrollment ID: O20040130000139 |
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| Entity Name | Henry County Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871177477
PECOS PAC ID: 9638570740
Enrollment ID: O20210701003616 |
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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. Evangeline De Sagun 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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Evangeline De Sagun, MD
1221 S Gear Ave,
West Burlington, IA 52655-1679
Ph: () - | Evangeline De Sagun, MD
1221 S Gear Ave,
West Burlington, IA 52655-1679
Ph: (319) 768-1000 |
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