Jessica Genevieve Lee, MD in Evergreen Park, IL

Jessica Genevieve Lee, MD is a medicare enrolled "Pediatrics" physician in Evergreen Park, Illinois. Her current practice location is 2850 W 95th St Ste 400, Evergreen Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 424-7600.

Jessica Genevieve Lee is licensed to practice in Illinois (license number 036155602) 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 1649774142.

Contact Information

	Jessica Genevieve Lee, MD
	2850 W 95th St Ste 400, Evergreen Park, IL 60805-2755
	(708) 424-7600
	Not Available

Map and Direction

Physician's Profile

Full Name	Jessica Genevieve Lee
Gender	Female
Speciality	Pediatrics
Location	2850 W 95th St Ste 400, Evergreen Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649774142
Provider Enumeration Date: 03/20/2018
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 6204216765
Enrollment ID: I20220630002151

Medical Identifiers

Medical identifiers for Jessica Genevieve Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649774142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	125.071712 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208000000X	Pediatrics	036155602 (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. Jessica Genevieve Lee allows following entities to bill medicare on her behalf.

Entity Name	Alzein Medical Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194914093 PECOS PAC ID: 5890106165 Enrollment ID: O20210105000739

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. Jessica Genevieve Lee 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
Jessica Genevieve Lee, MD 2850 W 95th St Ste 400, Evergreen Park, IL 60805-2755 Ph: (708) 424-7600	Jessica Genevieve Lee, MD 2850 W 95th St Ste 400, Evergreen Park, IL 60805-2755 Ph: (708) 424-7600

Reviews and Comments

Pediatrics Doctors in Evergreen Park, IL

Ms. Katherine M Riff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2850 W 95th Street, Suite 400, Evergreen Park, IL 60805 Phone: 708-424-7600 Fax: 708-424-7605
Dr. Kunhunni Vellody, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th Street, Suite 203, Evergreen Park, IL 60805 Phone: 708-229-2764 Fax: 708-229-2766
Calliope C Andricacou, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St, #404, Evergreen Park, IL 60805 Phone: 708-423-4000 Fax: 708-423-4097
Dr. Ahmad Chatila, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St Ste 400, Evergreen Park, IL 60805 Phone: 708-424-7600
Andrea Tekie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9730 S Western Ave Ste 500, Evergreen Park, IL 60805 Phone: 708-425-7337 Fax: 708-636-3485
Dr. Huma Ali Khan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9730 S Western Ave Ste 500, Evergreen Park, IL 60805 Phone: 708-425-7337
Dr. Alicia Lopez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9760 S Kedzie Ave, Suite 11, Evergreen Park, IL 60805 Phone: 708-346-7000 Fax: 708-346-6180

Jessica Genevieve Lee, MD - Medicare Pediatrics in Evergreen Park, IL