Shawn Robertson, is a medicare enrolled "Emergency Medicine" physician in Villa Park, Illinois. His current practice location is
45 N Princeton Ave, Villa Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 779-9973.
Shawn Robertson is licensed to practice in Illinois (license number 036153722) 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 1962880047.
Physician's Profile
| Full Name | Shawn Robertson |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 45 N Princeton Ave, Villa Park, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962880047
- Provider Enumeration Date: 05/11/2015
- Last Update Date: 09/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 1759679202
- Enrollment ID: I20190731003279
Medical Identifiers
Medical identifiers for Shawn Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962880047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 036153722 (Illinois) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Shawn Robertson allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Medicine Associates Pa Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134117393
PECOS PAC ID: 8022914522
Enrollment ID: O20031208000283 |
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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. Shawn Robertson 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 |
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Shawn Robertson,
45 N Princeton Ave,
Villa Park, IL 60181-2336
Ph: (630) 779-9973 | Shawn Robertson,
45 N Princeton Ave,
Villa Park, IL 60181-2336
Ph: (630) 779-9973 |
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