Individual provider Active NPI

Scott Mackay Morcott, M.D.

  • Family Medicine Physician
  • Lake Bluff, IL
National Provider Identifier
1386638708
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-099609 Issued in IL
Practice address
10 E Scranton Ave Ste 303
Lake Bluff, IL 60044-2561
Phone
(847) 816-3434
Fax
(847) 686-7284
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-099609 IL Primary

Addresses

Primary practice location

10 E Scranton Ave Ste 303
Lake Bluff, IL 60044-2561

Mailing address

10 E Scranton Ave Ste 303
Lake Bluff, IL 60044-2561
Phone (847) 757-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061201000312 IL Practitioner - Family PracticePractitioner - Preventive Medicine 5294733150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-099609ILMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1386638708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E SCRANTON AVE STE 303",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442561",
            "telephone_number": "847-757-8686",
            "fax_number": "847-686-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E SCRANTON AVE STE 303",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442561",
            "telephone_number": "847-816-3434",
            "fax_number": "847-686-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORCOTT",
        "first_name": "SCOTT",
        "middle_name": "MACKAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-099609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

Verify at the official NPI Registry.