Dr Jorge G Blackaller, MD - Internal Medicine in Riverside, IL

Dr Jorge G Blackaller, MD is a Internal Medicine physician based in Riverside, Illinois. Dr Jorge G Blackaller is licensed to practice in Illinois (license number 336.007971) and his current practice location is 102 Lawton Rd, Riverside, Illinois. He can be reached at his office (for appointments etc.) via phone at (708) 447-8425.

NPI number for Dr Jorge G Blackaller is 1528406014 and his current mailing address is 102 Lawton Rd, Riverside, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528406014.

Contact Information

Dr Jorge G Blackaller, MD
102 Lawton Rd,
Riverside, IL 60546-2333
(708) 447-8425
Not Available

Map and Direction




Physician's Profile

Full NameDr Jorge G Blackaller
GenderMale
SpecialityInternal Medicine
Location102 Lawton Rd, Riverside, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528406014
  • Provider Enumeration Date: 06/06/2013
  • Last Update Date: 06/06/2013

Medical Identifiers

Medical identifiers for Dr Jorge G Blackaller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528406014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 336.007971 (Illinois)Primary

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 Jorge G Blackaller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jorge G Blackaller, MD
102 Lawton Rd,
Riverside, IL 60546-2333

Ph: (708) 447-8425
Dr Jorge G Blackaller, MD
102 Lawton Rd,
Riverside, IL 60546-2333

Ph: (708) 447-8425

Reviews and Comments


Internal Medicine Doctors in Riverside, IL

Mr. Chaiyapon Couropmitree, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 3416 Harlem Ave, Riverside, IL 60546
Phone: 708-442-6161    Fax: 708-442-7188
Dr. Tahir Rohail, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2910 Harlem Ave, Riverside, IL 60546
Phone: 708-447-4267    Fax: 708-447-2104
Catherine Cheng, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3722 Harlem Ave Ste 101, Riverside, IL 60546
Phone: 708-783-6500    
Dr. Michelle Scott, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 7234 Ogden Ave, Riverside, IL 60546
Phone: 708-447-1177    Fax: 708-447-1286
Stanley G. Schade, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 189 North Delaplaine Road, Riverside, IL 60546
Phone: 708-447-9226    
Ann Bunyan, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3722 Harlem Ave, Suite Ll34, Riverside, IL 60546
Phone: 708-783-6566    
Sowmya Bhashini Popuri,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 3722 Harlem Ave, Riverside, IL 60546
Phone: 708-783-6566    Fax: 708-783-6567

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.