Dr Howard Allen Izenson, MD is a medicare enrolled "Emergency Medicine" physician in Deerfield, Illinois. His current practice location is
912 Fountain View Dr, Deerfield, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 248-1254.
Dr Howard Allen Izenson is licensed to practice in Illinois (license number 036-059939) 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 1760522460.
Physician's Profile
| Full Name | Dr Howard Allen Izenson |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 912 Fountain View Dr, Deerfield, 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: 1760522460
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284722489
- Enrollment ID: I20130117000387
Medical Identifiers
Medical identifiers for Dr Howard Allen Izenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760522460 | NPI | - | NPPES |
| 036-059939 | Other | IL | PHYSICIAN LICENSE |
| 200899740 | Medicaid | IN | |
| 000000564544 | Other | IN | ANTHEM |
| 01062800A | Other | IN | PHYSICIAN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 036-059939 (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 Howard Allen Izenson allows following entities to bill medicare on his behalf.
| Entity Name | Midwest Emergency Department Specialists Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245263367
PECOS PAC ID: 5193627727
Enrollment ID: O20040123000845 |
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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. Dr Howard Allen Izenson 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 Howard Allen Izenson, MD
912 Fountain View Dr,
Deerfield, IL 60015-4847
Ph: (630) 248-1254 | Dr Howard Allen Izenson, MD
912 Fountain View Dr,
Deerfield, IL 60015-4847
Ph: (630) 248-1254 |
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