Jherum Bardoquillo Espejo, PT, DPT is a medicare enrolled "Physical Therapist" provider in Charleston, Illinois. His current practice location is
535 W Grant Ave Apt 4, Charleston, Illinois. You can reach out to his office (for appointments etc.) via phone at
(224) 266-7388.
Jherum Bardoquillo Espejo is licensed to practice in Illinois (license number 070026385) 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 1467189407.
Healthcare Provider's Profile
Full Name | Jherum Bardoquillo Espejo |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 535 W Grant Ave Apt 4, Charleston, 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: 1467189407
- Provider Enumeration Date: 08/01/2022
- Last Update Date: 08/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 5890178321
- Enrollment ID: I20220817000656
Medical Identifiers
Medical identifiers for Jherum Bardoquillo Espejo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467189407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070026385 (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. Jherum Bardoquillo Espejo allows following entities to bill medicare on his behalf.
Provider Name | Comprehensive Therapeutics Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663 |
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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. Jherum Bardoquillo Espejo 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 |
Jherum Bardoquillo Espejo, PT, DPT 535 W Grant Aver, Apt 4, Charleston, IL 61920 Ph: (224) 266-7388 | Jherum Bardoquillo Espejo, PT, DPT 535 W Grant Ave Apt 4, Charleston, IL 61920-3276 Ph: (224) 266-7388 |
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