Jeffrey Michael Schenck, DO is a medicare enrolled "Family Medicine" physician in Fairview Heights, Illinois. His current practice location is
5 Ludwig Dr, Fairview Heights, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 397-9000.
Jeffrey Michael Schenck is licensed to practice in Illinois (license number 036157832) 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 1447713409.
Physician's Profile
| Full Name | Jeffrey Michael Schenck |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 5 Ludwig Dr, Fairview Heights, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447713409
- Provider Enumeration Date: 04/08/2019
- Last Update Date: 12/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769711712
- Enrollment ID: I20220707003430
Medical Identifiers
Medical identifiers for Jeffrey Michael Schenck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447713409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 036157832 (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. Jeffrey Michael Schenck allows following entities to bill medicare on his behalf.
| Entity Name | Hshs Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962644807
PECOS PAC ID: 5092857821
Enrollment ID: O20100116000275 |
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| Entity Name | Cep America-illinois Hospitalists, Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841613403
PECOS PAC ID: 3274765904
Enrollment ID: O20140411001788 |
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| Entity Name | Vituity - Illinois Auc Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306334198
PECOS PAC ID: 0547516932
Enrollment ID: O20180627000637 |
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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. Jeffrey Michael Schenck 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 Michael Schenck, DO
5 Ludwig Dr,
Fairview Heights, IL 62208-1332
Ph: (618) 397-9000 | Jeffrey Michael Schenck, DO
5 Ludwig Dr,
Fairview Heights, IL 62208-1332
Ph: (618) 397-9000 |
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