Dr Robert Carl Jespersen, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Mount Prospect, Illinois. His current practice location is
625 Slawin Ct, Mount Prospect, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 789-7155.
Dr Robert Carl Jespersen is licensed to practice in Illinois (license number 036070086) 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 1407939630.
Physician's Profile
Full Name | Dr Robert Carl Jespersen |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 625 Slawin Ct, Mount Prospect, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407939630
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 02/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 1557465010
- Enrollment ID: I20070323000023
Medical Identifiers
Medical identifiers for Dr Robert Carl Jespersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407939630 | NPI | - | NPPES |
F300267780 | Other | IL | PTAN |
036070086 | Medicaid | IL | |
0001627310 | Other | IL | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 036070086 (Illinois) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 036070086 (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 Robert Carl Jespersen 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 Robert Carl Jespersen, MD 5701 N Sheridan Rd, #28-s, Chicago, IL 60660-4771 Ph: (773) 989-5429 | Dr Robert Carl Jespersen, MD 625 Slawin Ct, Mount Prospect, IL 60056-2183 Ph: (847) 789-7155 |
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