Jarod Dwayne Skouby, MD in Granite City, IL

Jarod Dwayne Skouby, MD is a medicare enrolled "Pediatrics" physician in Granite City, Illinois. His current practice location is 3165 Myrtle Ave, Suite 2, Granite City, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 876-7500.

Jarod Dwayne Skouby is licensed to practice in Illinois (license number 036132100) 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 1124345939.

Contact Information

	Jarod Dwayne Skouby, MD
	3165 Myrtle Ave, Suite 2, Granite City, IL 62040-5012
	(618) 876-7500
	Not Available

Map and Direction

Physician's Profile

Full Name	Jarod Dwayne Skouby
Gender	Male
Speciality	Pediatrics
Location	3165 Myrtle Ave, Granite City, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124345939
Provider Enumeration Date: 05/03/2010
Last Update Date: 08/10/2013

Medicare PECOS Information:

PECOS PAC ID: 0446697999
Enrollment ID: I20240320002338

Medical Identifiers

Medical identifiers for Jarod Dwayne Skouby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124345939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036132100 (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. Jarod Dwayne Skouby allows following entities to bill medicare on his behalf.

Entity Name	Ssm Cardinal Glennon Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073568226 PECOS PAC ID: 7012828163 Enrollment ID: O20170612002061

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. Jarod Dwayne Skouby 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
Jarod Dwayne Skouby, MD 3165 Myrtle Ave, Suite 2, Granite City, IL 62040-5012 Ph: (618) 876-7500	Jarod Dwayne Skouby, MD 3165 Myrtle Ave, Suite 2, Granite City, IL 62040-5012 Ph: (618) 876-7500

Reviews and Comments

Pediatrics Doctors in Granite City, IL

Mohammad Reza S Ashraf, Pediatrics Medicare: Medicare Enrolled Practice Location: 1420 20th St, Granite City, IL 62040 Phone: 618-877-8200 Fax: 618-877-8206
Shahnaz Ahmad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3165 Myrtle Ave, Ste 2, Granite City, IL 62040 Phone: 618-876-7500 Fax: 618-876-0807
Dr. Karthikeyan Vadakantharai Parameswaran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-219-3318 Fax: 618-452-3329
Dr. Rachel N Han, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2166 Madison Ave, Granite City, IL 62040 Phone: 618-219-3318 Fax: 618-452-3329
Jamil Rana, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3165 Myrtle Ave, Suite 2, Granite City, IL 62040 Phone: 618-876-7500 Fax: 618-876-0807
Misha Lee Taber Martinez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3165 Myrtle Ave Ste 2, Granite City, IL 62040 Phone: 618-876-7500 Fax: 618-876-0807

Jarod Dwayne Skouby, MD - Medicare Pediatrics in Granite City, IL