Dr James Patrick Rybak, MD is a medicare enrolled "Urology" physician in Fairview Heights, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2008 and has 18 years of diverse experience with area of expertise as Urology. He is a member of the group practice Urology Of St Louis Inc, Urology Of St Louis Inc and his current practice location is
326 Fountains Pkwy, Fairview Heights, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 277-3109.
Dr James Patrick Rybak is licensed to practice in Illinois (license number 036133493) 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 1801042700.
Physician's Profile
| Full Name | Dr James Patrick Rybak |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 18 Years |
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| Location | 326 Fountains Pkwy, Fairview Heights, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr James Patrick Rybak attended and graduated from Southern Illinois University School Of Medicine in 2008
NPI Data:
- NPI Number: 1801042700
- Provider Enumeration Date: 08/11/2008
- Last Update Date: 12/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103068564
- Enrollment ID: I20151027001734
Medical Identifiers
Medical identifiers for Dr James Patrick Rybak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801042700 | NPI | - | NPPES |
| 036133493 | Other | IL | IDFPR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 2015036246 (Missouri) | Secondary |
| 2088F0040X | Urology - Female Pelvic Medicine And Reconstructive Surgery | 2015036246 (Missouri) | Secondary |
| 208800000X | Urology | 036133493 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Urology Of St Louis Inc | 6204723786 | 111 |
| Urology Of St Louis Inc | 6204723786 | 111 |
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 James Patrick Rybak allows following entities to bill medicare on his behalf.
| Entity Name | Urology Of St. Louis, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528017191
PECOS PAC ID: 6204723786
Enrollment ID: O20050629000005 |
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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. Dr James Patrick Rybak 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 |
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Dr James Patrick Rybak, MD
12855 N 40 Dr Ste 375,
Saint Louis, MO 63141-8657
Ph: (618) 277-3109 | Dr James Patrick Rybak, MD
326 Fountains Pkwy,
Fairview Heights, IL 62208-2041
Ph: (618) 277-3109 |
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