Jacqueline Alexandria Khorasanee, MD - Medicare Emergency Medicine in Chicago, IL

  1. Home
  2. Emergency Medicine
  3. IL
  4. Chicago
Jacqueline Alexandria Khorasanee, MD is a medicare enrolled "Emergency Medicine" physician in Chicago, Illinois. Her current practice location is 645 N Michigan Ave, Suite 1058a, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 503-4756.

Jacqueline Alexandria Khorasanee is licensed to practice in Illinois (license number 125056134) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003044892.

Contact Information

Jacqueline Alexandria Khorasanee, MD
645 N Michigan Ave, Suite 1058a,
Chicago, IL 60611-2826
(312) 503-4756
Not Available

Map and Direction




Physician's Profile

Full NameJacqueline Alexandria Khorasanee
GenderFemale
SpecialityEmergency Medicine
Location645 N Michigan Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003044892
  • Provider Enumeration Date: 06/30/2009
  • Last Update Date: 11/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3476782418
  • Enrollment ID: I20140214000970

Medical Identifiers

Medical identifiers for Jacqueline Alexandria Khorasanee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003044892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125056134 (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. Jacqueline Alexandria Khorasanee allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

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. Jacqueline Alexandria Khorasanee 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 AddressPractice Location Address
Jacqueline Alexandria Khorasanee, MD
259 E Erie St, Suite 100,
Chicago, IL 60611-2930

Ph: (312) 926-9512		Jacqueline Alexandria Khorasanee, MD
645 N Michigan Ave, Suite 1058a,
Chicago, IL 60611-2826

Ph: (312) 503-4756

Reviews and Comments


Emergency Medicine Doctors in Chicago, IL

Dr. Robert R Turelli Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 836 W Wellington Ave, Chicago, IL 60657
Phone: 773-296-5878    Fax: 773-296-7818
Dr. Kristen Grabow Moore, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 211 E Ontario St, Suite 300, Chicago, IL 60611
Phone: 312-694-7000    
Tomasz Piotr Lis, MD
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 2233 W Division St, Chicago, IL 60622
Phone: 312-770-2000    
Dr. Gillian E Munitz, M.D.
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 520 W Huron St, Unit 413, Chicago, IL 60654
Phone: 312-404-0200    
Michael Anthony Hoks Jr.,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7435 W Talcott Ave, Resurrection Em Residency, Chicago, IL 60631
Phone: 773-792-7321    
Dr. Ro Gonsalves, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2320 E 93rd St, Chicago, IL 60617
Phone: 773-967-2000    

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.