| Jennifer Anne Cerutti, MD | |
|
745 Fletcher Dr, Suite 301, Elgin, IL 60123-4747 | |
| (847) 741-0398 | |
| (847) 741-0549 |
| Full Name | Jennifer Anne Cerutti |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Location | 745 Fletcher Dr, Elgin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598976821 | NPI | - | NPPES |
| 04515157 | Other | IL | BLUE CROSS |
| CM7909 | Other | IL | RAILROAD MEDICARE GROUP PTAN # |
| P00671637 | Other | IL | RAILROAD MEDICARE IND PTAN |
| 036115248 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD-46011 (Iowa) | Secondary |
| 208800000X | Urology | 036115248 (Illinois) | Primary |
| Entity Name | United Shockwave Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497132377 PECOS PAC ID: 8729984448 Enrollment ID: O20031211000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Anne Cerutti, MD 745 Fletcher Dr, Suite 301, Elgin, IL 60123-4747 Ph: (847) 741-0398 | Jennifer Anne Cerutti, MD 745 Fletcher Dr, Suite 301, Elgin, IL 60123-4747 Ph: (847) 741-0398 |
Ramesh R Khanna, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1425 N Mclean Blvd, Ste 900, Elgin, IL 60123 Phone: 848-888-3070 Fax: 848-888-0513 | |
Dr. Fahad Chaus, M.D., M.B.A Urology Medicare: Accepting Medicare Assignments Practice Location: 745 Fletcher Dr Ste 301, Elgin, IL 60123 Phone: 847-741-0398 Fax: 847-741-0549 | |
Dr. James H. Griffin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 745 Fletcher Dr, Suite 301, Elgin, IL 60123 Phone: 847-741-0398 Fax: 847-741-0549 | |
Sajit Bux, M. D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1975 Lin Lor Ln Ste 295, Elgin, IL 60123 Phone: 847-506-4400 | |
Brian S Gerber, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 750 Fletcher Dr, Suite 203, Elgin, IL 60123 Phone: 847-697-7011 Fax: 847-697-8545 |