Dr Thomas J Schaffer, DDS in Chicago, IL - Medicare Dentist Provider

Dr Thomas J Schaffer, DDS is a medicare enrolled "Dentist - Dentist Anesthesiologist" provider in Chicago, Illinois. His current practice location is 326 W 64th St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 962-3900.

Dr Thomas J Schaffer is licensed to practice in Illinois (license number 019.034077) 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 1780052936.

Contact Information

	Dr Thomas J Schaffer, DDS
	326 W 64th St, Chicago, IL 60621-3146
	(773) 962-3900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Thomas J Schaffer
Gender	Male
Speciality	Dentist - Dentist Anesthesiologist
Location	326 W 64th St, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780052936
Provider Enumeration Date: 09/04/2015
Last Update Date: 06/05/2025

Medicare PECOS Information:

PECOS PAC ID: 3375837610
Enrollment ID: I20240725002884

Medical Identifiers

Medical identifiers for Dr Thomas J Schaffer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780052936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223D0004X	Dentist - Dentist Anesthesiologist	019.034077 (Illinois)	Primary
122300000X	Dentist	0136 (Northern Mariana Islands)	Secondary

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 Thomas J Schaffer allows following entities to bill medicare on his behalf.

Entity Name	St Bernard Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629147210 PECOS PAC ID: 1759361579 Enrollment ID: O20040722000725

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 Thomas J Schaffer 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 Thomas J Schaffer, DDS 1745 Platt St, Niles, MI 49120-8733 Ph: (718) 644-0622	Dr Thomas J Schaffer, DDS 326 W 64th St, Chicago, IL 60621-3146 Ph: (773) 962-3900

Reviews and Comments

Dentist in Chicago, IL

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Dr. Sodabeh Etminan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 7131 S Jeffery Blvd Ste A, Chicago, IL 60649 Phone: 773-256-0526

Dr Thomas J Schaffer, DDS - Medicare Dentist in Chicago, IL