Mr James E Young Iii, NURSE PRACTITIONER - Medicare Nurse Practitioner in Tinley Park, IL

Mr James E Young Iii, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tinley Park, Illinois. His current practice location is 6700 167th St Ste 4, Tinley Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 640-6951.

Mr James E Young Iii is licensed to practice in Illinois (license number 209027820) 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 1184303075.

Contact Information

Mr James E Young Iii, NURSE PRACTITIONER
6700 167th St Ste 4,
Tinley Park, IL 60477-2078
(708) 640-6951
Not Available

Map and Direction




Provider's Profile

Full NameMr James E Young Iii
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6700 167th St Ste 4, Tinley Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184303075
  • Provider Enumeration Date: 07/17/2023
  • Last Update Date: 07/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254775216
  • Enrollment ID: I20240216004218

Medical Identifiers

Medical identifiers for Mr James E Young Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184303075NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209027820 (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. Mr James E Young Iii allows following entities to bill medicare on his behalf.
Entity NameEdgewood Clinical Services P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295914646
PECOS PAC ID: 3971963901
Enrollment ID: O20230721001228

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. Mr James E Young Iii 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
Mr James E Young Iii, NURSE PRACTITIONER
6700 167th St Ste 4,
Tinley Park, IL 60477-2078

Ph: () -
Mr James E Young Iii, NURSE PRACTITIONER
6700 167th St Ste 4,
Tinley Park, IL 60477-2078

Ph: (708) 640-6951

Reviews and Comments


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Phone: 708-429-3455    Fax: 708-429-3422
Donna Boettge, APNP
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Practice Location: 17859 80th Ave, Tinley Park, IL 60477
Phone: 888-938-3838    Fax: 888-919-1083

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.