Jack M Whitney, MD in Highland Park, IL - Medicare Emergency Medicine

Jack M Whitney, MD is a medicare enrolled "Emergency Medicine" physician in Highland Park, Illinois. His current practice location is 777 Park Ave W, Emergency Dept, Highland Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 480-3784.

Jack M Whitney is licensed to practice in Illinois (license number ) 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 1780750216.

Contact Information

	Jack M Whitney, MD
	777 Park Ave W, Emergency Dept, Highland Park, IL 60035-2433
	(847) 480-3784
	(847) 480-2845

Map and Direction

Physician's Profile

Full Name	Jack M Whitney
Gender	Male
Speciality	Emergency Medicine
Location	777 Park Ave W, Highland Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780750216
Provider Enumeration Date: 11/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3375589518
Enrollment ID: I20050628001216

Medical Identifiers

Medical identifiers for Jack M Whitney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780750216	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	(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. Jack M Whitney allows following entities to bill medicare on his behalf.

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. Jack M Whitney 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
Jack M Whitney, MD 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718 Ph: (847) 570-1206	Jack M Whitney, MD 777 Park Ave W, Emergency Dept, Highland Park, IL 60035-2433 Ph: (847) 480-3784

Reviews and Comments

Emergency Medicine Doctors in Highland Park, IL

Rebecca F Nishimoto, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-926-5844
Mr. Eugene E. Saltzberg, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 265 Ravine Drive, Highland Park, IL 60035 Phone: 847-432-2856 Fax: 847-780-4522
Michael S. Rosenberg, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 913 Timber Hill Rd, Highland Park, IL 60035 Phone: 847-433-8553
Dr. Shruti Shah, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2503 Highmoor Rd, Highland Park, IL 60035 Phone: 312-933-5074
Mart Jalakas, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 718 Glenview Ave, Emergency Department, Highland Park, IL 60035 Phone: 847-480-3751 Fax: 847-480-3964
Bruce A. Harris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 718 Glenview Ave, Emergency Department, Highland Park, IL 60035 Phone: 847-480-3751 Fax: 847-480-3964

Jack M Whitney, MD - Medicare Emergency Medicine in Highland Park, IL