Miss Talia Mavrogiannis, is a medicare enrolled "Physician Assistant" physician in Maywood, Illinois. She graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Loyola University Medical Center and her current practice location is
2160 S 1st Ave, Maywood, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 216-9122.
Miss Talia Mavrogiannis is licensed to practice in Illinois (license number 085008933) 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 1750030441.
Physician's Profile
| Full Name | Miss Talia Mavrogiannis |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 2160 S 1st Ave, Maywood, Illinois |
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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:
- Miss Talia Mavrogiannis graduated from medical school in 2022
NPI Data:
- NPI Number: 1750030441
- Provider Enumeration Date: 03/21/2022
- Last Update Date: 01/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 5890172977
- Enrollment ID: I20220510002608
Medical Identifiers
Medical identifiers for Miss Talia Mavrogiannis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750030441 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 085.008933 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085008933 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Loyola University Medical Center | 3779488903 | 926 |
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. Miss Talia Mavrogiannis 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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Miss Talia Mavrogiannis,
2160 S 1st Ave,
Maywood, IL 60153-3328
Ph: (708) 216-9122 | Miss Talia Mavrogiannis,
2160 S 1st Ave,
Maywood, IL 60153-3328
Ph: (708) 216-9122 |
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