Jie Song, MD in Libertyville, IL

Jie Song, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Libertyville, Illinois. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Skin Dermatology, Llc, Deerfield Dermatology Associates, Ltd. and his current practice location is 28100 N Ashley Cir Ste 106, Libertyville, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 737-7719.

Jie Song is licensed to practice in Illinois (license number 036.124312) 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 1114223351.

Contact Information

	Jie Song, MD
	28100 N Ashley Cir Ste 106, Libertyville, IL 60048-9478
	(847) 737-7719
	Not Available

Map and Direction

Physician's Profile

Full Name	Jie Song
Gender	Male
Speciality	Pathology
Experience	28 Years
Location	28100 N Ashley Cir Ste 106, Libertyville, 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:

Jie Song graduated from medical school in 1996

NPI Data:

NPI Number: 1114223351
Provider Enumeration Date: 02/06/2011
Last Update Date: 04/18/2024

Medicare PECOS Information:

PECOS PAC ID: 7416135942
Enrollment ID: I20110701000134

Medical Identifiers

Medical identifiers for Jie Song such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114223351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	01069290A (Indiana)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	036.124312 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Skin Dermatology, Llc	5991187577	6
Deerfield Dermatology Associates, Ltd.	6204841760	12

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. Jie Song allows following entities to bill medicare on his behalf.

Entity Name	Pathology Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972596864 PECOS PAC ID: 2466352208 Enrollment ID: O20040109000447

Entity Name	Community Care Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331

Entity Name	Skin Dermatology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386399749 PECOS PAC ID: 5991187577 Enrollment ID: O20220728001977

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. Jie Song 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
Jie Song, MD 2434 Interstate Plaza Dr, Hammond, IN 46324-2671 Ph: () -	Jie Song, MD 28100 N Ashley Cir Ste 106, Libertyville, IL 60048-9478 Ph: (847) 737-7719

Reviews and Comments

Pathology Doctors in Libertyville, IL

Dr. Adaora Margo Okonkwo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 S Milwaukee Ave, Condell Medical Center, Dept Of Pathology, Libertyville, IL 60048 Phone: 847-990-5155 Fax: 847-918-0713
Rosalind F Sharain, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 28100 N Ashley Cir Ste 106, Libertyville, IL 60048 Phone: 847-996-1030
Wenhua Liu, Pathology Medicare: Accepting Medicare Assignments Practice Location: 28100 N Ashley Cir Ste 106, Libertyville, IL 60048 Phone: 847-996-1030
Dr. Fawzia H Batti, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-990-5157 Fax: 847-918-0713
Devon Collins Gimbel, MD Pathology Medicare: Medicare Enrolled Practice Location: 28100 N Ashley Cir, Ste 106, Libertyville, IL 60048 Phone: 847-996-1030
Dr. Patricia Ann Kampmeier, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-990-5154 Fax: 847-918-0713

Jie Song, MD - Medicare Pathology in Libertyville, IL