Seth Kaplan, MD - Medicare Ophthalmology in Blue Island, IL

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Seth Kaplan, MD is a medicare enrolled "Ophthalmology" physician in Blue Island, Illinois. He went to University Of Michigan Medical School and graduated in 1985 and has 39 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Dupage Medical Group Ltd and his current practice location is 2320 High St, Blue Island, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 388-5500.

Seth Kaplan is licensed to practice in Illinois (license number 036073490) 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 1548224454.

Contact Information

Seth Kaplan, MD
2320 High St,
Blue Island, IL 60406-2426
(708) 388-5500
(708) 388-5672

Map and Direction




Physician's Profile

Full NameSeth Kaplan
GenderMale
SpecialityOphthalmology
Experience39 Years
Location2320 High St, Blue Island, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Seth Kaplan attended and graduated from University Of Michigan Medical School in 1985
  NPI Data:
  • NPI Number: 1548224454
  • Provider Enumeration Date: 04/17/2006
  • Last Update Date: 08/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466441472
  • Enrollment ID: I20050822000466

Medical Identifiers

Medical identifiers for Seth Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548224454NPI-NPPES
180031013OtherILRAILROAD MEDICARE
036073490MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 036073490 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dupage Medical Group Ltd54966679411186

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. Seth Kaplan allows following entities to bill medicare on his behalf.
Entity NameDupage Medical Group Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20031110000535

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. Seth Kaplan 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 AddressPractice Location Address
Seth Kaplan, MD
Po Box 713260,
Chicago, IL 60677-1260

Ph: (630) 469-2000		Seth Kaplan, MD
2320 High St,
Blue Island, IL 60406-2426

Ph: (708) 388-5500

Reviews and Comments


Ophthalmology Doctors in Blue Island, IL

Martin Jay Joffe, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2320 High St, Blue Island, IL 60406
Phone: 708-388-5500    Fax: 708-388-5672

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.