Dr Jeffrey M Mjaanes, MD in Chicago, IL

Dr Jeffrey M Mjaanes, MD is a medicare enrolled "Pediatrics - Sports Medicine" physician in Chicago, Illinois. His current practice location is 1611 W Harrison St, Ste 400, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 243-4244.

Dr Jeffrey M Mjaanes is licensed to practice in Illinois (license number 036107254) 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 1083641427.

Contact Information

	Dr Jeffrey M Mjaanes, MD
	1611 W Harrison St, Ste 400, Chicago, IL 60612-3841
	(312) 243-4244
	(312) 942-1517

Map and Direction

Physician's Profile

Full Name	Dr Jeffrey M Mjaanes
Gender	Male
Speciality	Pediatrics - Sports Medicine
Location	1611 W Harrison St, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083641427
Provider Enumeration Date: 06/28/2006
Last Update Date: 09/18/2012

Medicare PECOS Information:

PECOS PAC ID: 5890798607
Enrollment ID: I20060817000208

Medical Identifiers

Medical identifiers for Dr Jeffrey M Mjaanes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083641427	NPI	-	NPPES
036107254 2	Medicaid	IL
1633878	Other	IL	BCBS PROVIDER NUMBER
7081518	Other		AETNA PROVIDER NUMBER
207073	Other	IL	MEDICARE PTAN NUMBER LOCALITY #15
207067	Other	IL	MEDICARE PTAN NUMBER LOCALITY #16

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080S0010X	Pediatrics - Sports Medicine	036107254 (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 Jeffrey M Mjaanes allows following entities to bill medicare on his behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

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 Jeffrey M Mjaanes 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 Jeffrey M Mjaanes, MD 1 Westbrook Corporate Ctr, #240, Westchester, IL 60154-5701 Ph: (708) 236-2673	Dr Jeffrey M Mjaanes, MD 1611 W Harrison St, Ste 400, Chicago, IL 60612-3841 Ph: (312) 243-4244

Reviews and Comments

Pediatrics Doctors in Chicago, IL

Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000
Ajay Bhasin, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-5924
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000

Dr Jeffrey M Mjaanes, MD - Medicare Pediatrics in Chicago, IL