Jody A Weller, in Bloomingdale, IL - Medicare Dentist Provider

Jody A Weller, is a medicare enrolled "Dentist" provider in Bloomingdale, Illinois. Her current practice location is 360 W Schick Rd Ste 17, Bloomingdale, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 805-6565.

Jody A Weller is licensed to practice in Illinois (license number 019020585) 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 1427219328.

Contact Information

	Jody A Weller,
	360 W Schick Rd Ste 17, Bloomingdale, IL 60108-2965
	(708) 805-6565
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jody A Weller
Gender	Female
Speciality	Dentist
Location	360 W Schick Rd Ste 17, Bloomingdale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427219328
Provider Enumeration Date: 06/23/2008
Last Update Date: 01/03/2023

Medicare PECOS Information:

PECOS PAC ID: 3476871872
Enrollment ID: I20220913002764

Medical Identifiers

Medical identifiers for Jody A Weller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427219328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019020585 (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. Jody A Weller allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285

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. Jody A Weller 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
Jody A Weller, Po Box 27046, Scottsdale, AZ 85255-0134 Ph: (708) 805-6565	Jody A Weller, 360 W Schick Rd Ste 17, Bloomingdale, IL 60108-2965 Ph: (708) 805-6565

Reviews and Comments

Dentist in Bloomingdale, IL

Dr. Hong Chon, MS, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Tiffany Pte., Suite 212, Bloomingdale, IL 60108 Phone: 630-351-1100 Fax: 630-351-1118
Dr. Zachary Edsey, Dentist Medicare: Not Enrolled in Medicare Practice Location: 290 Springfield Dr, Bloomingdale, IL 60108 Phone: 630-980-3880
Jasmin L Eco, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 135 First St, Bloomingdale, IL 60108 Phone: 630-893-4650
Cristiane Gurgel Do Amaral Jereissati, Dentist Medicare: Not Enrolled in Medicare Practice Location: 156 E Lake St, Bloomingdale, IL 60108 Phone: 224-231-4638
Dr. Zarrina Babakulova, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Tiffany Pt Ste 209, Bloomingdale, IL 60108 Phone: 630-884-4131
Dr. Christopher Daniel Matesi, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 290 Springfield Dr, Suite 280, Bloomingdale, IL 60108 Phone: 630-893-7900
Dr. Frank Dennis Letizia, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 345 Montabello, Bloomingdale, IL 60108 Phone: 630-494-9970

Jody A Weller, - Medicare Dentist in Bloomingdale, IL