Dr Javier E Fajardo, MD - Medicare Obstetrics & Gynecology in Peoria, IL

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Dr Javier E Fajardo, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Peoria, Illinois. His current practice location is 2419 W Cornerstone Ct, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 692-2025.

Dr Javier E Fajardo is licensed to practice in Illinois (license number 036-117247) 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 1902943780.

Contact Information

Dr Javier E Fajardo, MD
2419 W Cornerstone Ct,
Peoria, IL 61614-2529
(309) 692-2025
Not Available

Map and Direction




Physician's Profile

Full NameDr Javier E Fajardo
GenderMale
SpecialityObstetrics & Gynecology
Location2419 W Cornerstone Ct, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902943780
  • Provider Enumeration Date: 01/31/2007
  • Last Update Date: 11/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941304265
  • Enrollment ID: I20210812002695

Medical Identifiers

Medical identifiers for Dr Javier E Fajardo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902943780NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 036117247 (Illinois)Secondary
207V00000XObstetrics & Gynecology 036-117247 (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. Dr Javier E Fajardo allows following entities to bill medicare on his behalf.
Entity NameRockford Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242886
PECOS PAC ID: 2567374036
Enrollment ID: O20031103000584
Entity NameSaint Anthony Health Affiliates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881086064
PECOS PAC ID: 1254321474
Enrollment ID: O20040518000419
Entity NameChristina L Midkiff Md Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518031558
PECOS PAC ID: 1951301126
Enrollment ID: O20070111000512
Entity NameObhg Illinois Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700107216
PECOS PAC ID: 7810179702
Enrollment ID: O20110314001065

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 Javier E Fajardo 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
Dr Javier E Fajardo, MD
2023 Vadalabene Dr, Ste 200,
Maryville, IL 62062-5636

Ph: (618) 288-7408		Dr Javier E Fajardo, MD
2419 W Cornerstone Ct,
Peoria, IL 61614-2529

Ph: (309) 692-2025

Reviews and Comments


Obstetrics & Gynecology Doctors in Peoria, IL

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Charles Egley, MD
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Mrs. Tamara L. Olt, M.D.
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Dr. Rebecca Jane Byler Dann, M.D., M.P.H.
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Phone: 309-655-3024    Fax: 309-655-3739
Rida W Boulos, MD
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Phone: 309-655-3024    

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.

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