Paul Michael De Bustros, is a medicare enrolled "Ophthalmology - Retina Specialist" physician in Orland Park, Illinois. His current practice location is
11516 183rd Pl Ste Se, Orland Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 915-6807.
Paul Michael De Bustros is licensed to practice in Illinois (license number 036.169593) 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 1487230876.
Physician's Profile
Full Name | Paul Michael De Bustros |
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Gender | Male |
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Speciality | Ophthalmology - Retina Specialist |
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Location | 11516 183rd Pl Ste Se, Orland Park, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487230876
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 06/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365826997
- Enrollment ID: I20220831002700
Medical Identifiers
Medical identifiers for Paul Michael De Bustros such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487230876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 036.169593 (Illinois) | Secondary |
207WX0107X | Ophthalmology - Retina Specialist | 036.169593 (Illinois) | Primary |
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 Michael De Bustros 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 Michael De Bustros, 450 E Waterside Dr Unit 2808, Chicago, IL 60601-4730 Ph: (708) 567-8890 | Paul Michael De Bustros, 11516 183rd Pl Ste Se, Orland Park, IL 60467-9456 Ph: (708) 915-6807 |
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