Brad Angle, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Park Ridge, Illinois. His current practice location is
1875 Dempster St Ste 285, Park Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 723-7705.
Brad Angle is licensed to practice in Illinois (license number 036069741) 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 1427026897.
Physician's Profile
| Full Name | Brad Angle |
|---|
| Gender | Male |
|---|
| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
|---|
| Location | 1875 Dempster St Ste 285, Park Ridge, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427026897
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416042031
- Enrollment ID: I20070927000534
Medical Identifiers
Medical identifiers for Brad Angle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427026897 | NPI | - | NPPES |
| 036069741 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 036069741 (Illinois) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 036069741 (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. Brad Angle allows following entities to bill medicare on his behalf.
| Entity Name | Advocate Health And Hospitals Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
|---|
| Entity Name | Lurie Children's Medical Group Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157 |
|---|
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. Brad Angle 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 |
Brad Angle, MD 1875 Dempster St Ste 285, Park Ridge, IL 60068-1157 Ph: (847) 723-7705 | Brad Angle, MD 1875 Dempster St Ste 285, Park Ridge, IL 60068-1157 Ph: (847) 723-7705 |
Reviews and Comments