Dr Jack Glenn Walz, DDS in East Peoria, IL - Medicare Oral Surgery Provider

Dr Jack Glenn Walz, DDS is a medicare enrolled "Dentist" provider in East Peoria, Illinois. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Oral Surgery. His current practice location is 731 Sabrina Drive, Ste A, East Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 699-1300.

Dr Jack Glenn Walz is licensed to practice in Illinois (license number 019021995) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1427166008.

Contact Information

	Dr Jack Glenn Walz, DDS
	731 Sabrina Drive, Ste A, East Peoria, IL 61611
	(309) 699-1300
	(309) 699-5399

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jack Glenn Walz
Gender	Male
Speciality	Oral Surgery
Experience	43 Years
Location	731 Sabrina Drive, East Peoria, Illinois
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jack Glenn Walz graduated from medical school in 1981

NPI Data:

NPI Number: 1427166008
Provider Enumeration Date: 08/25/2006
Last Update Date: 03/12/2018

Medicare PECOS Information:

PECOS PAC ID: 3971784901
Enrollment ID: I20130617000060

Medical Identifiers

Medical identifiers for Dr Jack Glenn Walz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427166008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019021995 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jack Glenn Walz allows following entities to bill medicare on his behalf.

Entity Name	Saint Francis Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023062312 PECOS PAC ID: 9032021258 Enrollment ID: O20080303000228

Entity Name	Central Illinois Center For Tmj And Facial Pain Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962745232 PECOS PAC ID: 7719168731 Enrollment ID: O20130617000038

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 Jack Glenn Walz 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 Jack Glenn Walz, DDS 731 Sabrina Dr, Unit A, East Peoria, IL 61611-3582 Ph: (309) 699-1300	Dr Jack Glenn Walz, DDS 731 Sabrina Drive, Ste A, East Peoria, IL 61611 Ph: (309) 699-1300

Reviews and Comments

Dentist in East Peoria, IL

Dr. Melissa Ann Porter, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 134 Mckinley St, East Peoria, IL 61611 Phone: 309-699-6770
Dr. David Ralph Trost, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 134 Mckinley St, East Peoria, IL 61611 Phone: 309-699-6770 Fax: 309-699-6771
Dr. Michael Norman Gabor, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 133 Oakmoor Dr., East Peoria, IL 61611 Phone: 309-698-9201
Dr. Seo Woo Choi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 502 Riverside Dr, East Peoria, IL 61611 Phone: 309-606-5008
Dr. Morgan Marie Shanahan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 809 W Camp St, East Peoria, IL 61611 Phone: 309-694-0606
Jonathan Phen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 502 Riverside Dr, East Peoria, IL 61611 Phone: 309-606-5008
Taylor Pham, Dentist Medicare: Not Enrolled in Medicare Practice Location: 368 W Washington St, East Peoria, IL 61611 Phone: 309-694-4444

Dr Jack Glenn Walz, DDS - Medicare Dentist in East Peoria, IL