Bradford C Roberg, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Crystal Lake, Illinois. His current practice location is
5714 S State Route 31, Crystal Lake, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 356-7000.
Bradford C Roberg is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316946072.
Physician's Profile
Full Name | Bradford C Roberg |
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Gender | Male |
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Speciality | Surgery - Plastic And Reconstructive Surgery |
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Location | 5714 S State Route 31, Crystal Lake, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316946072
- Provider Enumeration Date: 07/15/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9436052578
- Enrollment ID: I20040723000650
Medical Identifiers
Medical identifiers for Bradford C Roberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316946072 | NPI | - | NPPES |
00732007 | Other | IL | BLUE SHIELD OF ILLINOIS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | (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. Bradford C Roberg allows following entities to bill medicare on his behalf.
Entity Name | Dr 247 Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922669670 PECOS PAC ID: 7315375847 Enrollment ID: O20200317000988 |
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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. Bradford C Roberg 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 |
Bradford C Roberg, MD 8135 N Milwaukee Ave, Niles, IL 60714-2828 Ph: (847) 967-8098 | Bradford C Roberg, MD 5714 S State Route 31, Crystal Lake, IL 60014-4520 Ph: (815) 356-7000 |
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