John Deforest, DO is a medicare enrolled "Family Medicine" physician in Beecher, Illinois. He went to Chicago College Of Osteopathy and graduated in 1992 and has 33 years of diverse experience with area of expertise as Family Practice. His current practice location is
715 S Dixie Hwy, Beecher, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 946-9330.
John Deforest is licensed to practice in Illinois (license number 336051704) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003842964.
Physician's Profile
| Full Name | John Deforest |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 33 Years |
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| Location | 715 S Dixie Hwy, Beecher, Illinois |
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| Accepts Medicare Assignments | Yes. He 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:
- John Deforest attended and graduated from Chicago College Of Osteopathy in 1992
NPI Data:
- NPI Number: 1003842964
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 12/09/2014
Medicare PECOS Information:
- PECOS PAC ID: 9931112604
- Enrollment ID: I20060725000107
Medical Identifiers
Medical identifiers for John Deforest such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003842964 | NPI | - | NPPES |
| 036089998 | Medicaid | IL | |
| 9925692 | Other | IL | BC/BS |
| 080154175 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 336051704 (Illinois) | Primary |
Medical Facilities Affiliation
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. John Deforest allows following entities to bill medicare on his behalf.
| Entity Name | John R Deforest Do Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144241407
PECOS PAC ID: 2769495431
Enrollment ID: O20060725000088 |
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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. John Deforest 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 |
|---|
John Deforest, DO
715 S Dixie Hwy,
Beecher, IL 60401-3668
Ph: (708) 946-9330 | John Deforest, DO
715 S Dixie Hwy,
Beecher, IL 60401-3668
Ph: (708) 946-9330 |
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