Pamela A Eernisse, DPM is a medicare enrolled "Podiatrist" provider in Justice, Illinois. She went to William M. Scholl College Of Podiatric Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Pam Eernisse Dpm Sc, Caplis Foot Center Inc and her current practice location is
9050 W 81st St, Justice, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 594-3500.
Pamela A Eernisse is licensed to practice in Illinois (license number 16004918) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427036151.
Healthcare Provider's Profile
| Full Name | Pamela A Eernisse |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 26 Years |
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| Location | 9050 W 81st St, Justice, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Pamela A Eernisse attended and graduated from William M. Scholl College Of Podiatric Medicine in 1998
NPI Data:
- NPI Number: 1427036151
- Provider Enumeration Date: 01/03/2006
- Last Update Date: 02/14/2008
Medicare PECOS Information:
- PECOS PAC ID: 2163523028
- Enrollment ID: I20070720000881
Medical Identifiers
Medical identifiers for Pamela A Eernisse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427036151 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 16004918 (Illinois) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pam Eernisse Dpm Sc | 6608977566 | 2 |
| Caplis Foot Center Inc | 2062825300 | 2 |
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. Pamela A Eernisse allows following entities to bill medicare on her behalf.
| Provider Name | Pam Eernisse Dpm Sc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1417083080
PECOS PAC ID: 6608977566
Enrollment ID: O20070720000884 |
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| Provider Name | Michigan Ave Podiatry Llc 1 |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1881026185
PECOS PAC ID: 0941514079
Enrollment ID: O20150804003634 |
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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. Pamela A Eernisse 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 |
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Pamela A Eernisse, DPM
Po Box 967,
Tinley Park, IL 60477-0967
Ph: (312) 337-2468 | Pamela A Eernisse, DPM
9050 W 81st St,
Justice, IL 60458-1350
Ph: (708) 594-3500 |
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