Dr Jirasan Sakulsom, OD in Chicago, IL - Medicare Optometry Provider

Dr Jirasan Sakulsom, OD is a medicare enrolled "Optometrist" provider in Chicago, Illinois. He went to Illinois College Of Optometry At Chicago and graduated in 2007 and has 18 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Northwestern Medical Faculty Foundation and his current practice location is 2210 N Clark St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 697-9100.

Dr Jirasan Sakulsom is licensed to practice in Illinois (license number 046.010489) 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 1215120522.

Contact Information

	Dr Jirasan Sakulsom, OD
	2210 N Clark St, Chicago, IL 60614-3855
	(773) 697-9100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jirasan Sakulsom
Gender	Male
Speciality	Optometry
Experience	18 Years
Location	2210 N Clark St, Chicago, Illinois
Accepts Medicare Assignments	Yes. 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 Jirasan Sakulsom attended and graduated from Illinois College Of Optometry At Chicago in 2007

NPI Data:

NPI Number: 1215120522
Provider Enumeration Date: 08/20/2007
Last Update Date: 11/16/2022

Medicare PECOS Information:

PECOS PAC ID: 3577687615
Enrollment ID: I20121003000172

Medical Identifiers

Medical identifiers for Dr Jirasan Sakulsom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215120522	NPI	-	NPPES
046010489	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046.010489 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwestern Medical Faculty Foundation	4587576814	3352

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 Jirasan Sakulsom allows following entities to bill medicare on his behalf.

Provider Name	Northwestern Medical Faculty Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Provider Name	A Matter Of Sight Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801330402 PECOS PAC ID: 5193058212 Enrollment ID: O20190605000409

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 Jirasan Sakulsom 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
Dr Jirasan Sakulsom, OD 259 E Erie St, Suite 20-220, Chicago, IL 60611 Ph: () -	Dr Jirasan Sakulsom, OD 2210 N Clark St, Chicago, IL 60614-3855 Ph: (773) 697-9100

Reviews and Comments

Optometrist in Chicago, IL

Primary Eye Care Associates Optometrist Medicare: Medicare Enrolled Practice Location: 5460 S Archer Ave, Chicago, IL 60638 Phone: 773-735-6090 Fax: 773-581-0320
Dr. Mary Gouris, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 225 N Michigan Ave, Chicago, IL 60601 Phone: 312-819-0199
Aneta Anna Stoch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3457 W 111th St, Chicago, IL 60655 Phone: 773-253-2175
Solo Eye Care Printers Row, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 S Dearborn St, Chicago, IL 60605 Phone: 312-588-5999 Fax: 312-225-5309
Dr. Thomas W Goska, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3627 N Western Ave, Chicago, IL 60618 Phone: 773-525-2022 Fax: 773-525-2024
Dr. James Gerard Roth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6857 S Pulaski Rd, Chicago, IL 60629 Phone: 773-767-5000 Fax: 773-767-5176
Dr. David D Dewaard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1056 W Wilson Ave, Chicago, IL 60640 Phone: 773-271-5774

Dr Jirasan Sakulsom, OD - Medicare Optometrist in Chicago, IL