Jensen Jacob Vayalil, is a medicare enrolled "Emergency Medicine" physician in Willowbrook, Illinois. His current practice location is
351 Willowood Ln, Willowbrook, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 280-5905.
Jensen Jacob Vayalil is licensed to practice in Illinois (license number 125.085286) 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 1134922065.
Physician's Profile
| Full Name | Jensen Jacob Vayalil |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 351 Willowood Ln, Willowbrook, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134922065
- Provider Enumeration Date: 03/27/2025
- Last Update Date: 06/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779000302
- Enrollment ID: I20250507002619
Medical Identifiers
Medical identifiers for Jensen Jacob Vayalil such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134922065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 125.085286 (Illinois) | Primary |
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. Jensen Jacob Vayalil 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 |
Jensen Jacob Vayalil, 351 Willowood Ln, Willowbrook, IL 60527-3900 Ph: (630) 280-5905 | Jensen Jacob Vayalil, 351 Willowood Ln, Willowbrook, IL 60527-3900 Ph: (630) 280-5905 |
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