Interventional Pain Management Of Northern Illinois is a medicare enrolled "Anesthesiology - Pain Medicine" provider in Rockford, Illinois. Their current practice location is
4338 Morsay Dr, Lower Level, Rockford, Illinois. You can reach out to their office (for appointments etc.) via phone at
(815) 397-8500.
Interventional Pain Management Of Northern Illinois is licensed to practice in Illinois (license number ) and it also participates in the medicare program. Interventional Pain Management Of Northern Illinois
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1255754362.
Healthcare Provider's Profile
Full Name | Interventional Pain Management Of Northern Illinois |
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Type | Facility |
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Speciality | Anesthesiology - Pain Medicine |
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Location | 4338 Morsay Dr, Rockford, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255754362
- Provider Enumeration Date: 01/24/2014
- Last Update Date: 04/07/2015
Medicare PECOS Information:
- PECOS PAC ID: 2860713740
- Enrollment ID: O20150603002449
Medical Identifiers
Medical identifiers for Interventional Pain Management Of Northern Illinois such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255754362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (Illinois) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | (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.
Interventional Pain Management Of Northern Illinois acts as a billing entity for following providers:
Provider Name | Andrew Kong |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1598817934 PECOS PAC ID: 4789589789 Enrollment ID: I20150603002916 |
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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. Interventional Pain Management Of Northern Illinois 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 |
Interventional Pain Management Of Northern Illinois 4338 Morsay Dr, Lower Level, Rockford, IL 61107-4877 Ph: (815) 397-8500 | Interventional Pain Management Of Northern Illinois 4338 Morsay Dr, Lower Level, Rockford, IL 61107-4877 Ph: (815) 397-8500 |
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