Dr Siri Chanthasalo, DDS in Elgin, IL - Medicare Dentist Provider

Dr Siri Chanthasalo, DDS is a medicare enrolled "Dentist - General Practice" provider in Elgin, Illinois. Her current practice location is 3091 W. Route 20, #103, Elgin, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 841-1555.

Dr Siri Chanthasalo is licensed to practice in Illinois (license number 019-025831) 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 1134286057.

Contact Information

	Dr Siri Chanthasalo, DDS
	3091 W. Route 20, #103, Elgin, IL 60124
	(847) 841-1555
	Not Available

Healthcare Provider's Profile

Full Name	Dr Siri Chanthasalo
Gender	Female
Speciality	Dentist - General Practice
Location	3091 W. Route 20, Elgin, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134286057
Provider Enumeration Date: 01/02/2007
Last Update Date: 10/09/2008

Medicare PECOS Information:

PECOS PAC ID: 5799082475
Enrollment ID: I20160323001525

Medical Identifiers

Medical identifiers for Dr Siri Chanthasalo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134286057	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	019-025831 (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. Dr Siri Chanthasalo 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
Dr Siri Chanthasalo, DDS 452 Westport Dr, Pingree Grove, IL 60140-9172 Ph: (847) 217-7215	Dr Siri Chanthasalo, DDS 3091 W. Route 20, #103, Elgin, IL 60124 Ph: (847) 841-1555

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Dentist in Elgin, IL

Dr. Michael A Bender, DDS Dentist Medicare: Medicare Enrolled Practice Location: 217 N Mclean Blvd, Elgin, IL 60123 Phone: 847-888-4333 Fax: 847-289-6572
Bushra Zafar, Dentist Medicare: Not Enrolled in Medicare Practice Location: 247 Dundee Ave, Elgin, IL 60120 Phone: 847-260-1145
Ms. Santhi Yenna, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2375 Bowes Rd Ste 200, Elgin, IL 60123 Phone: 847-697-9900 Fax: 847-697-9910
Shuo Yan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 47 Clock Tower Plz, Elgin, IL 60120 Phone: 888-988-4066 Fax: 847-496-4850
Dr. Edward Kalsbeek, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 595 N. Weston Ave, Elgin, IL 60123 Phone: 847-888-2558
Dr. David A. Rice, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1972 Larkin Ave, Elgin, IL 60123 Phone: 847-741-2353 Fax: 847-741-2357
Stephen Patterson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1030 Summit St, Elgin, IL 60120 Phone: 847-888-8282

Dr Siri Chanthasalo, DDS - Medicare Dentist in Elgin, IL