Jacqueline Moran, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Glen Ellyn, Illinois. She went to Indiana University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Dupage Medical Group Ltd and her current practice location is
430 Pennsylvania Ave, Glen Ellyn, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 469-9200.
Jacqueline Moran is licensed to practice in Illinois (license number 036101828) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518934967.
Physician's Profile
| Full Name | Jacqueline Moran |
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| Gender | Female |
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| Speciality | Allergy/immunology |
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| Experience | 27 Years |
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| Location | 430 Pennsylvania Ave, Glen Ellyn, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacqueline Moran attended and graduated from Indiana University School Of Medicine in 1997
NPI Data:
- NPI Number: 1518934967
- Provider Enumeration Date: 03/03/2006
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395630305
- Enrollment ID: I20040218000812
Medical Identifiers
Medical identifiers for Jacqueline Moran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518934967 | NPI | - | NPPES |
| 036101828 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207KA0200X | Allergy & Immunology - Allergy | 036101828 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dupage Medical Group Ltd | 5496667941 | 1186 |
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 Moran allows following entities to bill medicare on her behalf.
| Entity Name | Dupage Medical Group Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20031110000535 |
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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 Moran 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 |
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Jacqueline Moran, MD
Po Box 713260,
Chicago, IL 60677-1260
Ph: (630) 469-9200 | Jacqueline Moran, MD
430 Pennsylvania Ave,
Glen Ellyn, IL 60137-4464
Ph: (630) 469-9200 |
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