Guntippar S Pratumngern, DO - Medicare Family Medicine in Niles, IL

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Guntippar S Pratumngern, DO is a medicare enrolled "Family Medicine" physician in Niles, Illinois. Her current practice location is 7255 N Caldwell Ave, Niles, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 647-0355.

Guntippar S Pratumngern is licensed to practice in Illinois (license number 036-105741) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306967724.

Contact Information

Guntippar S Pratumngern, DO
7255 N Caldwell Ave,
Niles, IL 60714-4501
(847) 647-0355
(847) 647-7638

Map and Direction




Physician's Profile

Full NameGuntippar S Pratumngern
GenderFemale
SpecialityFamily Medicine
Location7255 N Caldwell Ave, Niles, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306967724
  • Provider Enumeration Date: 04/03/2007
  • Last Update Date: 01/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0345383626
  • Enrollment ID: I20100209000398

Medical Identifiers

Medical identifiers for Guntippar S Pratumngern such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306967724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine 336066466 (Illinois)Secondary
207Q00000XFamily Medicine 036-105741 (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. Guntippar S Pratumngern allows following entities to bill medicare on her behalf.
Entity NameBonaventure Medical Foundation LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588775647
PECOS PAC ID: 7517863178
Enrollment ID: O20031212000374
Entity NameDr 247 SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922669670
PECOS PAC ID: 7315375847
Enrollment ID: O20200317000988
Entity NameMobile Wound Care Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811866080
PECOS PAC ID: 6204320054
Enrollment ID: O20251210000994

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. Guntippar S Pratumngern 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 AddressPractice Location Address
Guntippar S Pratumngern, DO
7255 N Caldwell Ave,
Niles, IL 60714-4501

Ph: (847) 647-0355		Guntippar S Pratumngern, DO
7255 N Caldwell Ave,
Niles, IL 60714-4501

Ph: (847) 647-0355

Reviews and Comments


Family Medicine Doctors in Niles, IL

Dr. Michael John Meyer, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7900 N Milwaukee Ave, Suite 2-23, Niles, IL 60714
Phone: 847-966-9878    Fax: 847-213-2057
Ellen S Brull, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7900 N Milwaukee Ave, Niles, IL 60714
Phone: 847-967-9660    Fax: 847-470-9323
Dr. Paul Anthony Meyer, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7900 N Milwaukee Ave, Oak Mill Mall Suite 2-23, Niles, IL 60714
Phone: 847-966-9878    Fax: 847-213-2057
Romeo Lagrosa, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 8965 W Golf Rd, Niles, IL 60714
Phone: 847-795-8600    Fax: 847-795-8602
Dr. Noemi N Borrillo, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7338 N Waukegan Rd, Niles, IL 60714
Phone: 847-647-0438    Fax: 847-647-7813
Carlton Little,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6935 N Milwaukee Ave Apt 103, Niles, IL 60714
Phone: 787-210-2806    
Dr. Gabriel Gino Menna, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7638 N Milwaukee Ave, Niles, IL 60714
Phone: 833-515-7200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.