Dr Jacklyn M Hagedorn, MD - Medicare Pediatric Medicine in Chicago, IL

Dr Jacklyn M Hagedorn, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Chicago, Illinois. She went to Rush Medical College Of Rush University and graduated in 2007 and has 17 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice New York University and her current practice location is 1653 W Congress Pkwy, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 942-5000.

Dr Jacklyn M Hagedorn is licensed to practice in Illinois (license number 036129053) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174783039.

Contact Information

Dr Jacklyn M Hagedorn, MD
1653 W Congress Pkwy,
Chicago, IL 60612-3833
(312) 942-5000
Not Available

Map and Direction




Physician's Profile

Full NameDr Jacklyn M Hagedorn
GenderFemale
SpecialityPediatric Medicine
Experience17 Years
Location1653 W Congress Pkwy, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacklyn M Hagedorn attended and graduated from Rush Medical College Of Rush University in 2007
  NPI Data:
  • NPI Number: 1174783039
  • Provider Enumeration Date: 06/13/2008
  • Last Update Date: 01/20/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9638497191
  • Enrollment ID: I20150413001063

Medical Identifiers

Medical identifiers for Dr Jacklyn M Hagedorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174783039NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 125053105 (Illinois)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 036129053 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
New York University Langone Medical CenterNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York University13552324224495

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 Jacklyn M Hagedorn allows following entities to bill medicare on her behalf.
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026

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 Jacklyn M Hagedorn 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 AddressPractice Location Address
Dr Jacklyn M Hagedorn, MD
2160 S 1st Ave,
Maywood, IL 60153-3328

Ph: (708) 216-5901
Dr Jacklyn M Hagedorn, MD
1653 W Congress Pkwy,
Chicago, IL 60612-3833

Ph: (312) 942-5000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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