Pauline Dejesus, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Carol Stream, Illinois. Her current practice location is
727 Daybreak Ln, Carol Stream, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 400-5220.
Pauline Dejesus is licensed to practice in Illinois (license number 209027999) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023787363.
Provider's Profile
| Full Name | Pauline Dejesus |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 727 Daybreak Ln, Carol Stream, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023787363
- Provider Enumeration Date: 09/09/2021
- Last Update Date: 04/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204287212
- Enrollment ID: I20240103004252
Medical Identifiers
Medical identifiers for Pauline Dejesus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023787363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 041445495 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209027999 (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. Pauline Dejesus allows following entities to bill medicare on her behalf.
| Entity Name | The Board Of Trustees Of The University Of Illinois |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158 |
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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. Pauline Dejesus 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 |
|---|
Pauline Dejesus, RN
727 Daybreak Ln,
Carol Stream, IL 60188-3614
Ph: (630) 400-5220 | Pauline Dejesus, RN
727 Daybreak Ln,
Carol Stream, IL 60188-3614
Ph: (630) 400-5220 |
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