Dr Jeffrey Richard Dahlen, MD in Urbana, IL - Medicare Emergency Medicine

Dr Jeffrey Richard Dahlen, MD is a medicare enrolled "Emergency Medicine" physician in Urbana, Illinois. His current practice location is 1109 S Lincoln Ave, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 333-2700.

Dr Jeffrey Richard Dahlen is licensed to practice in Illinois (license number 036.167523) 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 1265680144.

Contact Information

	Dr Jeffrey Richard Dahlen, MD
	1109 S Lincoln Ave, Urbana, IL 61801-4703
	(217) 333-2700
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jeffrey Richard Dahlen
Gender	Male
Speciality	Emergency Medicine
Location	1109 S Lincoln Ave, Urbana, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265680144
Provider Enumeration Date: 09/03/2008
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 9032385000
Enrollment ID: I20111222000483

Medical Identifiers

Medical identifiers for Dr Jeffrey Richard Dahlen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265680144	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	52429 (Minnesota)	Secondary
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	52429 (Minnesota)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	036.167523 (Illinois)	Secondary
207P00000X	Emergency Medicine	036.167523 (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 Richard Dahlen allows following entities to bill medicare on his behalf.

Entity Name	Children's Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939

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 Richard Dahlen 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 Richard Dahlen, MD 1109 S Lincoln Ave, Urbana, IL 61801-4703 Ph: () -	Dr Jeffrey Richard Dahlen, MD 1109 S Lincoln Ave, Urbana, IL 61801-4703 Ph: (217) 333-2700

Reviews and Comments

Emergency Medicine Doctors in Urbana, IL

Dr. Carlos Enrique Brown Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311
Dr. Imran Khan, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014
Brendan Mcevoy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3285
Michael F Hegarty, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park Street, Emergency Medicine, Urbana, IL 61801 Phone: 217-383-4930 Fax: 217-383-4014
Lars Grant, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 W Park St, Emergency Department, Urbana, IL 61801 Phone: 217-337-2131
Philip Disalvo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014
Dr. G. Michael M Swindle, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park Street, Emergency Medicine, Urbana, IL 61801 Phone: 217-383-3311

Dr Jeffrey Richard Dahlen, MD - Medicare Emergency Medicine in Urbana, IL