Jamie Lynn Kondelis, is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Skokie, Illinois. Her current practice location is
5540 Touhy Ave, Skokie, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 647-0355.
Jamie Lynn Kondelis is licensed to practice in Illinois (license number 036081301) 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 1689789547.
Physician's Profile
Full Name | Jamie Lynn Kondelis |
---|
Gender | Female |
---|
Speciality | Preventive Medicine - Occupational Medicine |
---|
Location | 5540 Touhy Ave, Skokie, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689789547
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507800976
- Enrollment ID: I20051110000466
Medical Identifiers
Medical identifiers for Jamie Lynn Kondelis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689789547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083X0100X | Preventive Medicine - Occupational Medicine | 036081301 (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. Jamie Lynn Kondelis allows following entities to bill medicare on her behalf.
Entity Name | Advocate Health And Hospitals Corporation |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
---|
Entity Name | The Board Of Trustees Of The University Of Illinois |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
---|
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. Jamie Lynn Kondelis 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 |
Jamie Lynn Kondelis, 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Jamie Lynn Kondelis, 5540 Touhy Ave, Skokie, IL 60077-3234 Ph: (847) 647-0355 |
Reviews and Comments