Jessie Wayne Castro, is a medicare enrolled "Family Medicine" physician in Bellwood, Illinois. His current practice location is
456 25th Ave, Bellwood, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 467-7254.
Jessie Wayne Castro is licensed to practice in Illinois (license number 036.158820) 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 1144614454.
Physician's Profile
| Full Name | Jessie Wayne Castro |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 456 25th Ave, Bellwood, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144614454
- Provider Enumeration Date: 03/25/2015
- Last Update Date: 06/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 0143603274
- Enrollment ID: I20220822003275
Medical Identifiers
Medical identifiers for Jessie Wayne Castro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144614454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 036.158820 (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. Jessie Wayne Castro allows following entities to bill medicare on his behalf.
| Entity Name | Oak Street Health Physicians Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083051643
PECOS PAC ID: 7517109879
Enrollment ID: O20130815000670 |
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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. Jessie Wayne Castro 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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Jessie Wayne Castro,
Po Box 746715,
Atlanta, GA 30374-6715
Ph: (773) 352-1515 | Jessie Wayne Castro,
456 25th Ave,
Bellwood, IL 60104-1961
Ph: (708) 467-7254 |
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