North Shore Sports Medicine And Orthopaedic Center, Ltd. is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" provider in Glenview, Illinois. Their current practice location is
1714 Milwaukee Ave, Glenview, Illinois. You can reach out to their office (for appointments etc.) via phone at
(847) 699-6810.
North Shore Sports Medicine And Orthopaedic Center, Ltd. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. North Shore Sports Medicine And Orthopaedic Center, Ltd.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1316983315.
Healthcare Provider's Profile
| Full Name | North Shore Sports Medicine And Orthopaedic Center, Ltd. |
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| Type | Facility |
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| Speciality | Orthopaedic Surgery - Sports Medicine |
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| Location | 1714 Milwaukee Ave, Glenview, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316983315
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 06/24/2010
Medicare PECOS Information:
- PECOS PAC ID: 1557338217
- Enrollment ID: O20040913000644
Medical Identifiers
Medical identifiers for North Shore Sports Medicine And Orthopaedic Center, Ltd. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316983315 | NPI | - | NPPES |
| 131650500 | Other | IL | OWCP FOR DEPT OF LABOR |
| 1618365 | Other | IL | BC/BS |
| 200030424 | Other | IL | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
North Shore Sports Medicine And Orthopaedic Center, Ltd. acts as a billing entity for following providers:
| Provider Name | Chadwick C Prodromos |
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| Provider Type | Practitioner - Orthopedic Surgery |
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| Provider Identifiers | NPI Number: 1265477699
PECOS PAC ID: 5496723868
Enrollment ID: I20040928000994 |
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| Provider Name | Angelo M Dizon |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1093750408
PECOS PAC ID: 7618913443
Enrollment ID: I20050701000704 |
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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. North Shore Sports Medicine And Orthopaedic Center, Ltd. 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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North Shore Sports Medicine And Orthopaedic Center, Ltd.
1714 Milwaukee Ave,
Glenview, IL 60025-1441
Ph: (847) 688-6810 | North Shore Sports Medicine And Orthopaedic Center, Ltd.
1714 Milwaukee Ave,
Glenview, IL 60025-1441
Ph: (847) 699-6810 |
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