Jessica Imuetinyan Obeahon, MD in Evanston, IL

Jessica Imuetinyan Obeahon, MD is a medicare enrolled "Hospitalist" physician in Evanston, Illinois. Her current practice location is 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 570-1010.

Jessica Imuetinyan Obeahon is licensed to practice in Illinois (license number 036160988) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730743402.

Contact Information

	Jessica Imuetinyan Obeahon, MD
	2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201
	(847) 570-1010
	(847) 733-5108

Map and Direction

Physician's Profile

Full Name	Jessica Imuetinyan Obeahon
Gender	Female
Speciality	Hospitalist
Location	2650 Ridge Ave., Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730743402
Provider Enumeration Date: 04/27/2019
Last Update Date: 07/26/2022

Medicare PECOS Information:

PECOS PAC ID: 0648653832
Enrollment ID: I20220822001170

Medical Identifiers

Medical identifiers for Jessica Imuetinyan Obeahon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730743402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036160988 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208M00000X	Hospitalist	036160988 (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. Jessica Imuetinyan Obeahon allows following entities to bill medicare on her behalf.

Entity Name	Loyola University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027

Entity Name	Endeavor Health Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

Entity Name	Loyola Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063

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. Jessica Imuetinyan Obeahon 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
Jessica Imuetinyan Obeahon, MD 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201 Ph: (847) 570-1010	Jessica Imuetinyan Obeahon, MD 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201 Ph: (847) 570-1010

Reviews and Comments

Hospitalist Doctors in Evanston, IL

Tae Yeon Kim, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Pediatric Hospitalists, Evanston, IL 60201 Phone: 847-570-1027 Fax: 847-733-5108
Kenneth Patrick Harang, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Danijela Dokic, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Dr. Eric Charles Molloy, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Hospitalist Department, Evanston, IL 60201 Phone: 847-570-2000
Byung Hun Hyun, Hospitalist Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-1010
Jamie Titen, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2509
Rafiya Hameeduddin, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108

Jessica Imuetinyan Obeahon, MD - Medicare Hospitalist in Evanston, IL