Mark L Lundine, in Rockford, IL - Medicare Otolaryngology

Mark L Lundine, is a medicare enrolled "Otolaryngology" physician in Rockford, Illinois. His current practice location is 1253 N Alpine Rd, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (779) 696-9201.

Mark L Lundine is licensed to practice in Illinois (license number 036-059144) 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 1437251931.

Contact Information

	Mark L Lundine,
	1253 N Alpine Rd, Rockford, IL 61107-2201
	(779) 696-9201
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark L Lundine
Gender	Male
Speciality	Otolaryngology
Location	1253 N Alpine Rd, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437251931
Provider Enumeration Date: 09/04/2006
Last Update Date: 10/19/2017

Medicare PECOS Information:

PECOS PAC ID: 4789770710
Enrollment ID: I20071022000462

Medical Identifiers

Medical identifiers for Mark L Lundine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437251931	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YS0123X	Otolaryngology - Facial Plastic Surgery	036059144 (Illinois)	Secondary
207Y00000X	Otolaryngology	036-059144 (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. Mark L Lundine allows following entities to bill medicare on his behalf.

Entity Name	Swedishamerican Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012

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. Mark L Lundine 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
Mark L Lundine, Po Box 1567, Rockford, IL 61110-0067 Ph: (779) 696-7150	Mark L Lundine, 1253 N Alpine Rd, Rockford, IL 61107-2201 Ph: (779) 696-9201

Reviews and Comments

Otolaryngology Doctors in Rockford, IL

Simon A Holoubek, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1340 Charles St Ste 100&405, Rockford, IL 61104 Phone: 779-696-8700
Dr. Terrence R Loughlin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 698 Featherstone Rd, Rockford, IL 61107 Phone: 815-398-3277
Adam Soliman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Perryville Rd, Rockford, IL 61114 Phone: 815-971-2000
Dr. Ronald V. Washak, D.O. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2300 N Rockton Ave, Plastic Surgery Dept, Rockford, IL 61103 Phone: 815-971-2000 Fax: 815-971-9924
Margaret Provenza, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1253 N Alpine Rd, Rockford, IL 61107 Phone: 779-696-9201
Jonathan L. Ferguson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 698 Featherstone Rd, Rockford, IL 61107 Phone: 815-398-3277 Fax: 815-484-7001

Mark L Lundine, - Medicare Otolaryngology in Rockford, IL