Jerry P Gore, MD is a medicare enrolled "General Practice" physician in Riverwoods, Illinois. He went to Northwestern University Feinberg Medical School and graduated in 1971 and has 53 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Wholehealth Chicago-3 and his current practice location is
240 Saunders Rd, Riverwoods, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 236-1701.
Jerry P Gore is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1972695633.
Physician's Profile
| Full Name | Jerry P Gore |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 53 Years |
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| Location | 240 Saunders Rd, Riverwoods, Illinois |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jerry P Gore attended and graduated from Northwestern University Feinberg Medical School in 1971
NPI Data:
- NPI Number: 1972695633
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 12/28/2007
Medicare PECOS Information:
- PECOS PAC ID: 0840220307
- Enrollment ID: I20120518000055
Medical Identifiers
Medical identifiers for Jerry P Gore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972695633 | NPI | - | NPPES |
| 0004932196 | Other | IL | BC/BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Secondary |
| 208D00000X | General Practice | (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wholehealth Chicago-3 | 9335223247 | 4 |
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. Jerry P Gore allows following entities to bill medicare on his behalf.
| Entity Name | Jerry P Gore Center For Holistic Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376653725
PECOS PAC ID: 4587694047
Enrollment ID: O20050816000129 |
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| Entity Name | Wholehealth Chicago-3 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487722666
PECOS PAC ID: 9335223247
Enrollment ID: O20080229000390 |
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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. Jerry P Gore 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 |
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Jerry P Gore, MD
240 Saunders Rd,
Riverwoods, IL 60015-3835
Ph: (847) 236-1701 | Jerry P Gore, MD
240 Saunders Rd,
Riverwoods, IL 60015-3835
Ph: (847) 236-1701 |
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