Dr Jared Daniel Novack, MD in Evanston, IL - Medicare Emergency Medicine

Dr Jared Daniel Novack, MD is a medicare enrolled "Emergency Medicine" physician in Evanston, Illinois. His current practice location is 2650 Ridge Ave, Evanston Hospital, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-2114.

Dr Jared Daniel Novack is licensed to practice in Illinois (license number 125056624) 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 1427363068.

Contact Information

	Dr Jared Daniel Novack, MD
	2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718
	(847) 570-2114
	(847) 570-1223

Map and Direction

Physician's Profile

Full Name	Dr Jared Daniel Novack
Gender	Male
Speciality	Emergency Medicine
Location	2650 Ridge Ave, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427363068
Provider Enumeration Date: 08/06/2010
Last Update Date: 08/31/2016

Medicare PECOS Information:

PECOS PAC ID: 5092961011
Enrollment ID: I20120807000840

Medical Identifiers

Medical identifiers for Dr Jared Daniel Novack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427363068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	125056624 (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 Jared Daniel Novack allows following entities to bill medicare on his behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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 Jared Daniel Novack 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 Jared Daniel Novack, MD 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718 Ph: (847) 570-2114	Dr Jared Daniel Novack, MD 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718 Ph: (847) 570-2114

Reviews and Comments

Emergency Medicine Doctors in Evanston, IL

Michael T. Gillam, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Emergency Medicine Rm G909, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Evan G Laskaris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Division Of Emergency Medicine, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Irene C. Yao, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114
Korie Lynne Zink, MD, MS Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Yudith Diaz Baez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Isaac Kolawole Agboola, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Dr. Rachel Hammel Mcdowell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Ridge Ave, Evanston, IL 60202 Phone: 847-316-2440

Dr Jared Daniel Novack, MD - Medicare Emergency Medicine in Evanston, IL