David Joel Reisberg, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Chicago, Illinois. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1977 and has 47 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice The Board Of Trustees Of The University Of Illinois and his current practice location is
811 S. Paulina St., Mc 588, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 996-6933.
David Joel Reisberg is licensed to practice in Illinois (license number 019-017383) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952485096.
Healthcare Provider's Profile
| Full Name | David Joel Reisberg |
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| Gender | Male |
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| Speciality | Maxillofacial Surgery |
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| Experience | 47 Years |
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| Location | 811 S. Paulina St., Chicago, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David Joel Reisberg attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1977
NPI Data:
- NPI Number: 1952485096
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 12/09/2019
Medicare PECOS Information:
- PECOS PAC ID: 5799889846
- Enrollment ID: I20070329000007
Medical Identifiers
Medical identifiers for David Joel Reisberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952485096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223P0700X | Dentist - Prosthodontics | 019017383 (Illinois) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 019-017383 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Board Of Trustees Of The University Of Illinois | 3072422716 | 923 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Joel Reisberg allows following entities to bill medicare on his behalf.
| Entity Name | The Board Of Trustees Of The University Of Illinois |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158 |
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| Entity Name | Cook County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747 |
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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. David Joel Reisberg 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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David Joel Reisberg, DDS
811 S. Paulina St., Mc 588,
Chicago, IL 60612-4305
Ph: (312) 996-6933 | David Joel Reisberg, DDS
811 S. Paulina St., Mc 588,
Chicago, IL 60612-4305
Ph: (312) 996-6933 |
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