Dr Derek Sean Bumgarner, MD - Medicare Pathology in Maywood, IL

Dr Derek Sean Bumgarner, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Maywood, Illinois. His current practice location is 2160 S 1st Ave, Department Of Pathology Building 110 Room 2209, Maywood, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 216-3250.

Dr Derek Sean Bumgarner is licensed to practice in Illinois (license number 036.138853) 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 1861734683.

Contact Information

Dr Derek Sean Bumgarner, MD
2160 S 1st Ave, Department Of Pathology Building 110 Room 2209,
Maywood, IL 60153-3328
(708) 216-3250
(708) 327-2620



Physician's Profile

Full NameDr Derek Sean Bumgarner
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location2160 S 1st Ave, Maywood, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861734683
  • Provider Enumeration Date: 03/19/2013
  • Last Update Date: 08/07/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1850694647
  • Enrollment ID: I20160128001818

Medical Identifiers

Medical identifiers for Dr Derek Sean Bumgarner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861734683NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 036.138853 (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 Derek Sean Bumgarner 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 AddressPractice Location Address
Dr Derek Sean Bumgarner, MD
2160 S 1st Ave, Department Of Pathology Building 110 Room 2209,
Maywood, IL 60153-3328

Ph: (708) 216-3250
Dr Derek Sean Bumgarner, MD
2160 S 1st Ave, Department Of Pathology Building 110 Room 2209,
Maywood, IL 60153-3328

Ph: (708) 216-3250

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Pathology Doctors in Maywood, IL

Jason Kang, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-327-2574    
Xianzhong Ding, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 847-687-6068    
Dr. Jodi J Speiser, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Department Of Pathology, Maywood, IL 60153
Phone: 414-688-7492    
Lifang Liu,
Pathology
Medicare: Medicare Enrolled
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 513-584-3844    
Silver Daniel, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Building 101, Room 1739, Maywood, IL 60153
Phone: 708-216-9000    
Cagatay H Ersahin, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S First Ave, Ems Bldg., Rm. 2209, Maywood, IL 60153
Phone: 708-216-3250    Fax: 708-216-2620
Dr. Brandon Zelman, DO
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-327-2689    

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