Michael David Blum, MD is a medicare enrolled "Urology" physician in Winnetka, Illinois. His current practice location is
750 Green Bay Rd, Winnetka, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 501-3434.
Michael David Blum is licensed to practice in Illinois (license number 036061189) 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 1427159201.
Physician's Profile
Full Name | Michael David Blum |
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Gender | Male |
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Speciality | Urology |
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Location | 750 Green Bay Rd, Winnetka, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427159201
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 10/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 0749192193
- Enrollment ID: I20040929000159
Medical Identifiers
Medical identifiers for Michael David Blum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427159201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 036061189 (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. Michael David Blum allows following entities to bill medicare on his behalf.
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
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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. Michael David Blum 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 |
Michael David Blum, MD 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718 Ph: (847) 570-1644 | Michael David Blum, MD 750 Green Bay Rd, Winnetka, IL 60093-1938 Ph: (847) 501-3434 |
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