Edith J Chernoff, is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Chicago, Illinois. Her current practice location is
5841 S Maryland Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(888) 824-0200.
Edith J Chernoff is licensed to practice in Illinois (license number 036-103858) 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 1699870477.
Physician's Profile
| Full Name | Edith J Chernoff |
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| Gender | Female |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 5841 S Maryland Ave, Chicago, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699870477
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 01/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698741999
- Enrollment ID: I20040908000898
Medical Identifiers
Medical identifiers for Edith J Chernoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699870477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 036103858 (Illinois) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 036-103858 (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. Edith J Chernoff allows following entities to bill medicare on her behalf.
| Entity Name | University Of Chicago |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821048786
PECOS PAC ID: 7719899426
Enrollment ID: O20031103000094 |
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| Entity Name | Advocate Health And Hospitals Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064 |
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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. Edith J Chernoff 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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Edith J Chernoff,
150 Harvester Dr, Suite 300,
Burr Ridge, IL 60527-5919
Ph: () - | Edith J Chernoff,
5841 S Maryland Ave,
Chicago, IL 60637-1443
Ph: (888) 824-0200 |
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