Jeffrey David Trachtenberg, MD in Decatur, IL

Jeffrey David Trachtenberg, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Decatur, Illinois. He went to State University Of Ny Upstate Medical University and graduated in 1989 and has 35 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Prairie Cardiovascular Consultants Ltd and his current practice location is 1800 E Lake Shore Dr, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 464-1722.

Jeffrey David Trachtenberg is licensed to practice in Illinois (license number 036103845) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821070517.

Contact Information

	Jeffrey David Trachtenberg, MD
	1800 E Lake Shore Dr, Decatur, IL 62521-3810
	(217) 464-1722
	(217) 464-1717

Map and Direction

Physician's Profile

Full Name	Jeffrey David Trachtenberg
Gender	Male
Speciality	Vascular Surgery
Experience	35 Years
Location	1800 E Lake Shore Dr, Decatur, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeffrey David Trachtenberg attended and graduated from State University Of Ny Upstate Medical University in 1989

NPI Data:

NPI Number: 1821070517
Provider Enumeration Date: 11/17/2005
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 8921047325
Enrollment ID: I20050426000579

Medical Identifiers

Medical identifiers for Jeffrey David Trachtenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821070517	NPI	-	NPPES
CI4811	Other		MEDICARE TRAVELERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	036103845 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Marys Hospital	Decatur, IL	Hospital
Decatur Memorial Hospital	Decatur, IL	Hospital
St Anthonys Memorial Hospital	Effingham, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prairie Cardiovascular Consultants Ltd	3173435880	85

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. Jeffrey David Trachtenberg allows following entities to bill medicare on his behalf.

Entity Name	Prairie Cardiovascular Consultants Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982714218 PECOS PAC ID: 3173435880 Enrollment ID: O20031103000090

Entity Name	Decatur Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685

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. Jeffrey David Trachtenberg 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
Jeffrey David Trachtenberg, MD 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-1722	Jeffrey David Trachtenberg, MD 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-1722

Reviews and Comments

Surgery Doctors in Decatur, IL

Dr. Ranjodh Singh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Decatur, IL 62526 Phone: 217-876-5500 Fax: 217-876-5505
Timothy S Bailey, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr Ste 300, Decatur, IL 62526 Phone: 217-876-5500 Fax: 217-876-5505
John Joseph White, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1750 E Lake Shore Dr, Ste 200, Decatur, IL 62521 Phone: 217-428-6300 Fax: 217-428-6322
Dr. Nikesh Lath, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 1750 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-1200
Robin Michelle Riley, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 480-522-8661
Donald Paul Kamm, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 441 W Hay St, Decatur, IL 62526 Phone: 217-424-2374 Fax: 217-424-2383
Dr. Albert F Gilman Iv, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr Ste 300, Decatur, IL 62526 Phone: 217-876-5500 Fax: 217-876-5505

Jeffrey David Trachtenberg, MD - Medicare Vascular Surgery in Decatur, IL