Dr Israel Gross, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Chicago, Illinois. His current practice location is
1934 W. Roscoe St., #4, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 879-1392.
Dr Israel Gross is licensed to practice in Illinois (license number 071.009431) 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 1225575871.
Healthcare Provider's Profile
| Full Name | Dr Israel Gross |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1934 W. Roscoe St., Chicago, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225575871
- Provider Enumeration Date: 01/20/2017
- Last Update Date: 01/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 8527341510
- Enrollment ID: I20170217001419
Medical Identifiers
Medical identifiers for Dr Israel Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225575871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 071.009431 (Illinois) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 071.009431 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 071.009431 (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. Dr Israel Gross allows following entities to bill medicare on his behalf.
| Entity Name | University Of Chicago |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821048786
PECOS PAC ID: 7719899426
Enrollment ID: O20031103000094 |
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| Entity Name | The University Of Chicago Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033218128
PECOS PAC ID: 7618880766
Enrollment ID: O20031106000203 |
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| Entity Name | Cook County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747 |
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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. Dr Israel Gross 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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Dr Israel Gross, PHD
1934 W Roscoe St, #4,
Chicago, IL 60657-1056
Ph: (773) 879-1392 | Dr Israel Gross, PHD
1934 W. Roscoe St., #4,
Chicago, IL 60657
Ph: (773) 879-1392 |
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