Wondwossen M Zenebe, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Hazel Crest, Illinois. His current practice location is
17850 Kedzie Ave Ste 1500, Hazel Crest, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 799-8245.
Wondwossen M Zenebe is licensed to practice in Illinois (license number 036143031) 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 1225472681.
Physician's Profile
Full Name | Wondwossen M Zenebe |
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Gender | Male |
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Speciality | Preventive Medicine - Occupational Medicine |
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Location | 17850 Kedzie Ave Ste 1500, Hazel Crest, 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: 1225472681
- Provider Enumeration Date: 04/28/2013
- Last Update Date: 07/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143593103
- Enrollment ID: I20170913002888
Medical Identifiers
Medical identifiers for Wondwossen M Zenebe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225472681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083X0100X | Preventive Medicine - Occupational Medicine | 67833-20 (Wisconsin) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | 036143031 (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. Wondwossen M Zenebe allows following entities to bill medicare on his behalf.
Entity Name | Rockford Health Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
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Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
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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. Wondwossen M Zenebe 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 |
Wondwossen M Zenebe, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Wondwossen M Zenebe, MD 17850 Kedzie Ave Ste 1500, Hazel Crest, IL 60429-2049 Ph: (708) 799-8245 |
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