Jared Blake Weiss, MD - Medicare Radiology in Chicago, IL

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Jared Blake Weiss, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Chicago, Illinois. His current practice location is 676 N Saint Clair St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 695-1292.

Jared Blake Weiss is licensed to practice in Illinois (license number 036.160070) 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 1215469036.

Contact Information

Jared Blake Weiss, MD
676 N Saint Clair St,
Chicago, IL 60611-2927
(312) 695-1292
Not Available

Map and Direction




Physician's Profile

Full NameJared Blake Weiss
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location676 N Saint Clair St, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215469036
  • Provider Enumeration Date: 03/30/2017
  • Last Update Date: 06/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072861673
  • Enrollment ID: I20230525002706

Medical Identifiers

Medical identifiers for Jared Blake Weiss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215469036NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0700XRadiology - Neuroradiology 036.160070 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology 036.160070 (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. Jared Blake Weiss allows following entities to bill medicare on his behalf.
Entity NameNorth Broward Radiologists, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306820295
PECOS PAC ID: 9537141338
Enrollment ID: O20040604000592

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. Jared Blake Weiss 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
Jared Blake Weiss, MD
340 E North Water St Unit 2110,
Chicago, IL 60611-0812

Ph: (847) 309-9970		Jared Blake Weiss, MD
676 N Saint Clair St,
Chicago, IL 60611-2927

Ph: (312) 695-1292

Reviews and Comments


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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.