Dr Jean L Walsh, DO is a medicare enrolled "Family Medicine" physician in Hinckley, Illinois. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Rockford Health Physicians and her current practice location is
741 E Lincoln Ave, Hinckley, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 286-9256.
Dr Jean L Walsh is licensed to practice in Illinois (license number 036089648) 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 1164648614.
Physician's Profile
| Full Name | Dr Jean L Walsh |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 32 Years |
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| Location | 741 E Lincoln Ave, Hinckley, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jean L Walsh graduated from medical school in 1992
NPI Data:
- NPI Number: 1164648614
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 02/22/2017
Medicare PECOS Information:
- PECOS PAC ID: 2860455367
- Enrollment ID: I20070810000063
Medical Identifiers
Medical identifiers for Dr Jean L Walsh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164648614 | NPI | - | NPPES |
| 02226675 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036089648 | Medicaid | IL | |
| 04515143 | Other | IL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 036089648 (Illinois) | Primary |
| 174400000X | Specialist | 036089648 (Illinois) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rockford Health Physicians | 2567374036 | 304 |
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 Jean L Walsh allows following entities to bill medicare on her behalf.
| Entity Name | Rockford Health Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043242886
PECOS PAC ID: 2567374036
Enrollment ID: O20031103000584 |
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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 Jean L Walsh 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 Jean L Walsh, DO
2357 Sequoia Dr,
Aurora, IL 60506-6222
Ph: (630) 859-6800 | Dr Jean L Walsh, DO
741 E Lincoln Ave,
Hinckley, IL 60520-9500
Ph: (815) 286-9256 |
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