Willowbrook Podiatry Inc is a medicare enrolled "Podiatrist" provider in Willow Brook, Illinois. Their current practice location is
62 63rd St, Willow Brook, Illinois. You can reach out to their office (for appointments etc.) via phone at
(630) 887-9221.
Willowbrook Podiatry Inc is licensed to practice in Illinois (license number 004656) and it also participates in the medicare program. Willowbrook Podiatry Inc
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 1932167228.
Healthcare Provider's Profile
| Full Name | Willowbrook Podiatry Inc |
|---|
| Type | Facility |
|---|
| Speciality | Podiatrist |
|---|
| Location | 62 63rd St, Willow Brook, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1932167228
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 06/15/2010
Medicare PECOS Information:
- PECOS PAC ID: 9739260845
- Enrollment ID: O20080115000423
Medical Identifiers
Medical identifiers for Willowbrook Podiatry Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932167228 | NPI | - | NPPES |
| 0732240001 | Other | | DMERC # WITH PPG |
| DG8105 | Other | IL | RAIL ROAD MEDICARE |
| 0002219563 | Other | IL | BCBS |
| 016004656 | Medicaid | IL | |
| 200136470A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 004656 (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.
Willowbrook Podiatry Inc acts as a billing entity for following providers:
| Provider Name | Timothy Lantvit |
|---|
| Provider Type | Practitioner - Podiatry |
|---|
| Provider Identifiers | NPI Number: 1720134422
PECOS PAC ID: 1254308901
Enrollment ID: I20040913001162 |
|---|
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. Willowbrook Podiatry Inc 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 |
|---|
Willowbrook Podiatry Inc
62 63rd St,
Willow Brook, IL 60527-2982
Ph: () - | Willowbrook Podiatry Inc
62 63rd St,
Willow Brook, IL 60527-2982
Ph: (630) 887-9221 |
Reviews and Comments