Dr Jason Bohm Waldinger, MD is a medicare enrolled "Dermatology" physician in Lake Bluff, Illinois. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 2010 and has 16 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Endeavor Health Medical Group and his current practice location is
71 Waukegan Rd Ste 700, Lake Bluff, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 433-2620.
Dr Jason Bohm Waldinger is licensed to practice in Illinois (license number 036.134256) 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 1437461027.
Physician's Profile
| Full Name | Dr Jason Bohm Waldinger |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 16 Years |
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| Location | 71 Waukegan Rd Ste 700, Lake Bluff, 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 Jason Bohm Waldinger attended and graduated from University Of Chicago, Pritzker School Of Medicine in 2010
NPI Data:
- NPI Number: 1437461027
- Provider Enumeration Date: 07/12/2010
- Last Update Date: 03/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 4981820537
- Enrollment ID: I20140717001094
Medical Identifiers
Medical identifiers for Dr Jason Bohm Waldinger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437461027 | NPI | - | NPPES |
| 125058305 | Other | IL | STATE OF ILLINOIS MEDICAL LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 036.134256 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Endeavor Health Medical Group | 2163334699 | 3330 |
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 Jason Bohm Waldinger allows following entities to bill medicare on his behalf.
| Entity Name | Endeavor Health Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118 |
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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 Jason Bohm Waldinger 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 Jason Bohm Waldinger, MD
2650 Ridge Ave Ste 1223,
Evanston, IL 60201-1700
Ph: (847) 570-2040 | Dr Jason Bohm Waldinger, MD
71 Waukegan Rd Ste 700,
Lake Bluff, IL 60044-1614
Ph: (847) 433-2620 |
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