Dr Olusegun Adekunle Ishmael, MD - Medicare Emergency Medicine in Chicago, IL

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Dr Olusegun Adekunle Ishmael, MD is a medicare enrolled "Emergency Medicine" physician in Chicago, Illinois. His current practice location is 30 W Erie St, Unit 801, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 841-0083.

Dr Olusegun Adekunle Ishmael is licensed to practice in Illinois (license number 036126294) 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 1720142128.

Contact Information

Dr Olusegun Adekunle Ishmael, MD
30 W Erie St, Unit 801,
Chicago, IL 60654-2827
(312) 841-0083
(312) 475-0064

Map and Direction




Physician's Profile

Full NameDr Olusegun Adekunle Ishmael
GenderMale
SpecialityEmergency Medicine
Location30 W Erie St, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720142128
  • Provider Enumeration Date: 12/20/2006
  • Last Update Date: 10/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4082678685
  • Enrollment ID: I20101216001076

Medical Identifiers

Medical identifiers for Dr Olusegun Adekunle Ishmael such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720142128NPI-NPPES
010407096OtherINSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01047096A (Indiana)Secondary
207P00000XEmergency Medicine 036126294 (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 Olusegun Adekunle Ishmael allows following entities to bill medicare on his behalf.
Entity NameIroquois Memorial Hospital And Resident Home
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629003470
PECOS PAC ID: 4385551258
Enrollment ID: O20040517000306
Entity NameIllinois Emergency Staffing Solutions, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699915348
PECOS PAC ID: 7810044377
Enrollment ID: O20090421000050
Entity NameHcc Region Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528237559
PECOS PAC ID: 1759453178
Enrollment ID: O20090529000084
Entity NameMidwest Emergency Sparta, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194162370
PECOS PAC ID: 0345481255
Enrollment ID: O20130718000343

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 Olusegun Adekunle Ishmael 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 Olusegun Adekunle Ishmael, MD
30 W Erie St, Unit 801,
Chicago, IL 60654-2827

Ph: (312) 841-0083		Dr Olusegun Adekunle Ishmael, MD
30 W Erie St, Unit 801,
Chicago, IL 60654-2827

Ph: (312) 841-0083

Reviews and Comments


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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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