Steven Herzog, DDS, MS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Chicago, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1977 and has 47 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Evaskus And Herzog Ltd and his current practice location is
2440 W Peterson Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 761-7171.
Steven Herzog is licensed to practice in Illinois (license number 019-016111) 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 1306063631.
Healthcare Provider's Profile
| Full Name | Steven Herzog |
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| Gender | Male |
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| Speciality | Oral Surgery |
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| Experience | 47 Years |
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| Location | 2440 W Peterson Ave, Chicago, Illinois |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Steven Herzog attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1977
NPI Data:
- NPI Number: 1306063631
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 12/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 6406903095
- Enrollment ID: I20100415000358
Medical Identifiers
Medical identifiers for Steven Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306063631 | NPI | - | NPPES |
| 019016111 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019-016111 (Illinois) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 019-016111 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Evaskus And Herzog Ltd | 2961559547 | 3 |
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. Steven Herzog allows following entities to bill medicare on his behalf.
| Entity Name | Evaskus And Herzog Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316044837
PECOS PAC ID: 2961559547
Enrollment ID: O20090420000012 |
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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. Steven Herzog 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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Steven Herzog, DDS, MS
2440 W Peterson Ave,
Chicago, IL 60659-4113
Ph: (773) 761-7171 | Steven Herzog, DDS, MS
2440 W Peterson Ave,
Chicago, IL 60659-4113
Ph: (773) 761-7171 |
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