Justin Lunderberg, MD in Evanston, IL - Medicare Internal Medicine

Justin Lunderberg, MD is a medicare enrolled "Internal Medicine" physician in Evanston, Illinois. His current practice location is 2650 Ridge Ave Ste 1304, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-2700.

Justin Lunderberg is licensed to practice in Illinois (license number 125.072464) 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 1245725563.

Contact Information

	Justin Lunderberg, MD
	2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700
	(847) 570-2700
	Not Available

Map and Direction

Physician's Profile

Full Name	Justin Lunderberg
Gender	Male
Speciality	Internal Medicine
Location	2650 Ridge Ave Ste 1304, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245725563
Provider Enumeration Date: 06/28/2018
Last Update Date: 06/28/2018

Medicare PECOS Information:

PECOS PAC ID: 6002163896
Enrollment ID: I20230502000839

Medical Identifiers

Medical identifiers for Justin Lunderberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245725563	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125.072464 (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. Justin Lunderberg allows following entities to bill medicare on his behalf.

Entity Name	Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194765438 PECOS PAC ID: 4486567104 Enrollment ID: O20031204000918

Entity Name	Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093756629 PECOS PAC ID: 4486567104 Enrollment ID: O20040315000395

Entity Name	Jordan Physician Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538145131 PECOS PAC ID: 1254321086 Enrollment ID: O20040514000167

Entity Name	Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015

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. Justin Lunderberg 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
Justin Lunderberg, MD 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 702-1150	Justin Lunderberg, MD 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 Ph: (847) 570-2700

Reviews and Comments

Internal Medicine Doctors in Evanston, IL

James Francis Kelly, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Ashley Rachel Mohan, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Im/icu Hospitalists, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Andie Kwon, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2700 Fax: 847-570-2822
Adela Kola, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Matthew R. Sherwood, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Division Of Internal Medicine Rm 4324, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5128
Dipika Oberoi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2700
Neal N. Dodia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3171

Justin Lunderberg, MD - Medicare Internal Medicine in Evanston, IL