Dr Doug Valassis Jr, MD in Evanston, IL - Medicare Emergency Medicine

Dr Doug Valassis Jr, MD is a medicare enrolled "Emergency Medicine" physician in Evanston, Illinois. He went to University Of Michigan Medical School and graduated in 2012 and has 12 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice North Shore University Healthsystem Faculty Practice Associates, Northwestern Medical Faculty Foundation and his current practice location is 2650 Ridge Ave, Emergency Medicine, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-2114.

Dr Doug Valassis Jr is licensed to practice in Illinois (license number 036136990) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245599489.

Contact Information

	Dr Doug Valassis Jr, MD
	2650 Ridge Ave, Emergency Medicine, Evanston, IL 60201-1718
	(847) 570-2114
	(847) 570-1223

Map and Direction

Physician's Profile

Full Name	Dr Doug Valassis Jr
Gender	Male
Speciality	Emergency Medicine
Experience	12 Years
Location	2650 Ridge Ave, Evanston, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Doug Valassis Jr attended and graduated from University Of Michigan Medical School in 2012

NPI Data:

NPI Number: 1245599489
Provider Enumeration Date: 05/08/2012
Last Update Date: 08/31/2016

Medicare PECOS Information:

PECOS PAC ID: 3173844867
Enrollment ID: I20161018001398

Medical Identifiers

Medical identifiers for Dr Doug Valassis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245599489	NPI	-	NPPES
036136990	Other	IL	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036136990 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital
Northwestern Lake Forest Hospital	Lake forest, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore University Healthsystem Faculty Practice Associates	2163334699	1751
Northwestern Medical Faculty Foundation	4587576814	3255

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 Doug Valassis Jr allows following entities to bill medicare on his behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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 Doug Valassis Jr 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 Doug Valassis Jr, MD 2650 Ridge Ave, Professional Staff Office, Evanston, IL 60201-1718 Ph: (847) 570-2040	Dr Doug Valassis Jr, MD 2650 Ridge Ave, Emergency Medicine, Evanston, IL 60201-1718 Ph: (847) 570-2114

Reviews and Comments

Emergency Medicine Doctors in Evanston, IL

Michael T. Gillam, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Emergency Medicine Rm G909, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Evan G Laskaris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Division Of Emergency Medicine, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Irene C. Yao, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114
Dr. Anastasia Lvovna Khoubaeva, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Korie Lynne Zink, MD, MS Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Yudith Diaz Baez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Isaac Kolawole Agboola, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223

Dr Doug Valassis Jr, MD - Medicare Emergency Medicine in Evanston, IL