Dr Juaquito Mario Jorge, MD, MS in Elmwood Park, IL

Dr Juaquito Mario Jorge, MD, MS is a medicare enrolled "Surgery" physician in Elmwood Park, Illinois. He graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Tiesenga Surgical Associates Sc and his current practice location is 1950 N Harlem Ave, Elmwood Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 453-6800.

Dr Juaquito Mario Jorge is licensed to practice in Illinois (license number 036129844) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629206511.

Contact Information

	Dr Juaquito Mario Jorge, MD, MS
	1950 N Harlem Ave, Elmwood Park, IL 60707-3717
	(708) 453-6800
	(708) 453-3985

Map and Direction

Physician's Profile

Full Name	Dr Juaquito Mario Jorge
Gender	Male
Speciality	General Surgery
Experience	16 Years
Location	1950 N Harlem Ave, Elmwood Park, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Juaquito Mario Jorge graduated from medical school in 2009

NPI Data:

NPI Number: 1629206511
Provider Enumeration Date: 06/30/2009
Last Update Date: 10/18/2022

Medicare PECOS Information:

PECOS PAC ID: 3476707936
Enrollment ID: I20130208000261

Medical Identifiers

Medical identifiers for Dr Juaquito Mario Jorge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629206511	NPI	-	NPPES
36129844	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	036129844 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Community First Medical Center	Chicago, IL	Hospital
Amita Health Resurrection Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tiesenga Surgical Associates Sc	5597750901	8

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 Juaquito Mario Jorge allows following entities to bill medicare on his behalf.

Entity Name	Tiesenga Surgical Associates Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801876586 PECOS PAC ID: 5597750901 Enrollment ID: O20040420001105

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 Juaquito Mario Jorge 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 Juaquito Mario Jorge, MD, MS 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 Ph: (708) 453-6800	Dr Juaquito Mario Jorge, MD, MS 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 Ph: (708) 453-6800

Reviews and Comments

Surgery Doctors in Elmwood Park, IL

Charles Bradley Schubert, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3235
Mrs. Deepa Cherla Patel, MD Surgery Medicare: Medicare Enrolled Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 908-227-4052
Henry Robert Govekar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985
Athanasios D. Diniotis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3235
Timothy Jordan Stear, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985
Alexander Knijnikov, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N. Harlem Ave., Suburban Surgery Center, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985

Dr Juaquito Mario Jorge, MD, MS - Medicare General Surgery in Elmwood Park, IL