Dr Jacob Leo Stallbaumer, OD - Medicare Optometrist in Chicago, IL

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Dr Jacob Leo Stallbaumer, OD is a medicare enrolled "Optometrist" provider in Chicago, Illinois. He went to Southern College Of Optometry and graduated in 2017 and has 8 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Myeyedr Optometry Of Illinois Llc and his current practice location is 1130 W Madison St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 226-7200.

Dr Jacob Leo Stallbaumer is licensed to practice in Illinois (license number 046011248) 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 1528581527.

Contact Information

Dr Jacob Leo Stallbaumer, OD
1130 W Madison St,
Chicago, IL 60607-2023
(312) 226-7200
(312) 226-6490

Map and Direction




Healthcare Provider's Profile

Full NameDr Jacob Leo Stallbaumer
GenderMale
SpecialityOptometry
Experience8 Years
Location1130 W Madison St, Chicago, 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:
  • Dr Jacob Leo Stallbaumer attended and graduated from Southern College Of Optometry in 2017
  NPI Data:
  • NPI Number: 1528581527
  • Provider Enumeration Date: 07/21/2017
  • Last Update Date: 05/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840543534
  • Enrollment ID: I20181025003026

Medical Identifiers

Medical identifiers for Dr Jacob Leo Stallbaumer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528581527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 046011248 (Illinois)Primary
152W00000XOptometrist 3401 (Tennessee)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Myeyedr Optometry Of Illinois Llc357786996549

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. Dr Jacob Leo Stallbaumer allows following entities to bill medicare on his behalf.
Provider NameMyeyedr Optometry Of Illinois Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1245695378
PECOS PAC ID: 3577869965
Enrollment ID: O20160310001870

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. Dr Jacob Leo Stallbaumer 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
Dr Jacob Leo Stallbaumer, OD
8614 Westwood Center Dr Fl 9,
Vienna, VA 22182-2442

Ph: (703) 847-8899		Dr Jacob Leo Stallbaumer, OD
1130 W Madison St,
Chicago, IL 60607-2023

Ph: (312) 226-7200

Reviews and Comments


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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.