Paul Finly Detjen, MD in Kenilworth, IL - Medicare Allergy/immunology

Paul Finly Detjen, MD is a medicare enrolled "Allergy & Immunology" physician in Kenilworth, Illinois. He went to Washington University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Allergy/immunology. His current practice location is 534 Green Bay Rd, Kenilworth, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 256-5505.

Paul Finly Detjen is licensed to practice in Illinois (license number ) 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 1396739298.

Contact Information

	Paul Finly Detjen, MD
	534 Green Bay Rd, Kenilworth, IL 60043-1801
	(847) 256-5505
	(847) 256-5567

Map and Direction

Physician's Profile

Full Name	Paul Finly Detjen
Gender	Male
Speciality	Allergy/immunology
Experience	40 Years
Location	534 Green Bay Rd, Kenilworth, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Paul Finly Detjen attended and graduated from Washington University School Of Medicine in 1984

NPI Data:

NPI Number: 1396739298
Provider Enumeration Date: 09/07/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8022203553
Enrollment ID: I20101110000789

Medical Identifiers

Medical identifiers for Paul Finly Detjen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396739298	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207K00000X	Allergy & Immunology	(Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital
Northwestern Lake Forest Hospital	Lake forest, IL	Hospital

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. Paul Finly Detjen allows following entities to bill medicare on his behalf.

Entity Name	Kenilworth Medical Associates, S.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366579054 PECOS PAC ID: 2769677293 Enrollment ID: O20101110000776

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. Paul Finly Detjen 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
Paul Finly Detjen, MD 534 Green Bay Rd, Kenilworth, IL 60043-1801 Ph: (847) 256-5505	Paul Finly Detjen, MD 534 Green Bay Rd, Kenilworth, IL 60043-1801 Ph: (847) 256-5505

Paul Finly Detjen, MD - Medicare Allergy/immunology in Kenilworth, IL