Dennis Backstrom, MD - Medicare Emergency Medicine in Jacksonville, IL

  1. Home
  2. Emergency Medicine
  3. IL
  4. Jacksonville
Dennis Backstrom, MD is a medicare enrolled "Emergency Medicine" physician in Jacksonville, Illinois. His current practice location is 1600 W Walnut St, Jacksonville, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 245-9541.

Dennis Backstrom is licensed to practice in Illinois (license number ) 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 1497892012.

Contact Information

Dennis Backstrom, MD
1600 W Walnut St,
Jacksonville, IL 62650-1136
(217) 245-9541
(217) 479-8781

Map and Direction




Physician's Profile

Full NameDennis Backstrom
GenderMale
SpecialityEmergency Medicine
Location1600 W Walnut St, Jacksonville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497892012
  • Provider Enumeration Date: 01/31/2007
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7719016336
  • Enrollment ID: I20100520000056

Medical Identifiers

Medical identifiers for Dennis Backstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497892012NPI-NPPES
049626OtherILHEALTH ALLIANCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency 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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dennis Backstrom allows following entities to bill medicare on his behalf.
Entity NameMidwest Emergency Department Specialists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245263367
PECOS PAC ID: 5193627727
Enrollment ID: O20040123000845

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. Dennis Backstrom 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 AddressPractice Location Address
Dennis Backstrom, MD
1600 W Walnut St,
Jacksonville, IL 62650-1136

Ph: (217) 245-9541		Dennis Backstrom, MD
1600 W Walnut St,
Jacksonville, IL 62650-1136

Ph: (217) 245-9541

Reviews and Comments


Emergency Medicine Doctors in Jacksonville, IL

Dr. Tara Jean Ramsey, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1606 W Lafayette Ave, Suite D, Jacksonville, IL 62650
Phone: 217-479-0290    Fax: 217-479-0292
Michael E Whitmore, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1600 W Walnut St, Jacksonville, IL 62650
Phone: 217-245-9541    Fax: 217-479-8781
Sterling Shafer, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1600 W Walnut St, Jacksonville, IL 62650
Phone: 217-245-9541    Fax: 217-479-8781
Luke Norris, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1600 W Walnut St, Jacksonville, IL 62650
Phone: 217-245-9541    
Lawrence B Plummer, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1600 W Walnut St, Jacksonville, IL 62650
Phone: 217-245-9541    Fax: 217-479-8781
Cynthia Simpson, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1600 W Walnut St, Jacksonville, IL 62650
Phone: 217-245-9541    Fax: 217-479-8781

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.