Jerry Yan, MD in Rockford, IL - Medicare Internal Medicine

Jerry Yan, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Rockford, Illinois. His current practice location is 1340 Charles St Ste 300, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (779) 696-4400.

Jerry Yan is licensed to practice in Illinois (license number 036159837) 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 1336595123.

Contact Information

	Jerry Yan, MD
	1340 Charles St Ste 300, Rockford, IL 61104-2200
	(779) 696-4400
	Not Available

Map and Direction

Physician's Profile

Full Name	Jerry Yan
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	1340 Charles St Ste 300, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336595123
Provider Enumeration Date: 05/11/2016
Last Update Date: 04/25/2023

Medicare PECOS Information:

PECOS PAC ID: 3971868332
Enrollment ID: I20230111000966

Medical Identifiers

Medical identifiers for Jerry Yan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336595123	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	036159837 (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. Jerry Yan allows following entities to bill medicare on his behalf.

Entity Name	Freeport Regional Health Care Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182

Entity Name	Swedishamerican Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012

Entity Name	Freeport Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305

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 Yan 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
Jerry Yan, MD 1340 Charles St Ste 300, Rockford, IL 61104-2200 Ph: () -	Jerry Yan, MD 1340 Charles St Ste 300, Rockford, IL 61104-2200 Ph: (779) 696-4400

Reviews and Comments

Internal Medicine Doctors in Rockford, IL

Dr. Adekola Abioudun Ashaye, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881
Prasad K. Kilaru, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2350 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000
David R. Mitchell, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 5970 Churchview Dr, Rockford, IL 61107 Phone: 815-971-2000
Dr. Amrutha Mary George, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1253 N Alpine Rd, Rockford, IL 61107 Phone: 779-696-9201
Rajyalaxmi Mullapudi, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000
Geoffrey Tsaras, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1340 Charles St Ste 404, Rockford, IL 61104 Phone: 779-696-1890 Fax: 779-696-2410
Stephanie Birmingham, APN Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-5000

Jerry Yan, MD - Medicare Internal Medicine in Rockford, IL