Jacqueline Ann Pongracic, MD in Chicago, IL

Jacqueline Ann Pongracic, MD is a medicare enrolled "Pediatrics - Pediatric Allergy/immunology" physician in Chicago, Illinois. Her current practice location is 2515 N Clark St, Childrens Memorial Hospital Outpatient Center, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 227-6010.

Jacqueline Ann Pongracic is licensed to practice in Illinois (license number 036083010) 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 1083674048.

Contact Information

	Jacqueline Ann Pongracic, MD
	2515 N Clark St, Childrens Memorial Hospital Outpatient Center, Chicago, IL 60614
	(312) 227-6010
	(312) 227-9401

Map and Direction

Physician's Profile

Full Name	Jacqueline Ann Pongracic
Gender	Female
Speciality	Pediatrics - Pediatric Allergy/immunology
Location	2515 N Clark St, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083674048
Provider Enumeration Date: 03/24/2006
Last Update Date: 09/21/2011

Medicare PECOS Information:

PECOS PAC ID: 3577584234
Enrollment ID: I20090423000557

Medical Identifiers

Medical identifiers for Jacqueline Ann Pongracic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083674048	NPI	-	NPPES
036083010	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0201X	Pediatrics - Pediatric Allergy/immunology	036083010 (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 Ann Pongracic allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Faculty Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157

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 Ann Pongracic 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
Jacqueline Ann Pongracic, MD 2300 Childrens Plaza, #60 Childrens Memorial Hospital, Chicago, IL 60614 Ph: (312) 227-6011	Jacqueline Ann Pongracic, MD 2515 N Clark St, Childrens Memorial Hospital Outpatient Center, Chicago, IL 60614 Ph: (312) 227-6010

Reviews and Comments

Pediatrics Doctors in Chicago, IL

Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000
Ajay Bhasin, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-5924
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000

Jacqueline Ann Pongracic, MD - Medicare Pediatrics in Chicago, IL