Mr Philip Sebastian Maciukiewicz, MD in Maywood, IL

Mr Philip Sebastian Maciukiewicz, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Maywood, Illinois. His current practice location is 2160 S First Avenue, Building 103 Room 3107, Maywood, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 216-9169.

Mr Philip Sebastian Maciukiewicz is licensed to practice in Illinois (license number 036.158461) 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 1619439809.

Contact Information

	Mr Philip Sebastian Maciukiewicz, MD
	2160 S First Avenue, Building 103 Room 3107, Maywood, IL 60153
	(708) 216-9169
	(708) 216-1249

Map and Direction

Physician's Profile

Full Name	Mr Philip Sebastian Maciukiewicz
Gender	Male
Speciality	Pain Medicine - Pain Medicine
Location	2160 S First Avenue, Maywood, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619439809
Provider Enumeration Date: 04/05/2019
Last Update Date: 06/02/2023

Medicare PECOS Information:

PECOS PAC ID: 0547705758
Enrollment ID: I20240711004360

Medical Identifiers

Medical identifiers for Mr Philip Sebastian Maciukiewicz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619439809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	125.074702 (Illinois)	Secondary
208VP0000X	Pain Medicine - Pain Medicine	036.158461 (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. Mr Philip Sebastian Maciukiewicz allows following entities to bill medicare on his behalf.

Entity Name	Otero County Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861450579 PECOS PAC ID: 3173516606 Enrollment ID: O20070212000377

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. Mr Philip Sebastian Maciukiewicz 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
Mr Philip Sebastian Maciukiewicz, MD 2160 S First Avenue, Building 103 Room 3107, Maywood, IL 60153 Ph: (708) 216-9169	Mr Philip Sebastian Maciukiewicz, MD 2160 S First Avenue, Building 103 Room 3107, Maywood, IL 60153 Ph: (708) 216-9169

Reviews and Comments

Pain Medicine Doctors in Maywood, IL

Mariadas Chinthagada, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2160 S First Ave, (bldg. 103, Rm. 3102), Maywood, IL 60153 Phone: 708-216-6462 Fax: 708-216-1249
Meda Raghavendra, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2160 S First Ave, (15750 Marian Dr., Homer Glen, Il. 60526), Maywood, IL 60153 Phone: 708-216-6462 Fax: 708-216-1249

Mr Philip Sebastian Maciukiewicz, MD - Medicare Pain Medicine in Maywood, IL