Jie Song, MD - Medicare Pathology in Libertyville, IL

  1. Home
  2. Pathology
  3. IL
  4. Libertyville
Jie Song, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Libertyville, Illinois. He graduated from medical school in 1996 and has 30 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Christina G Steil Dermatology Ltd, Basko Dermatology, Llc, Skin Dermatology, Llc, Deerfield Dermatology Associates, Ltd., Community Care Network Inc and his current practice location is 28100 N Ashley Cir Ste 106, Libertyville, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 737-7719.

Jie Song is licensed to practice in Illinois (license number 036.124312) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114223351.

Contact Information

Jie Song, MD
28100 N Ashley Cir Ste 106,
Libertyville, IL 60048-9478
(847) 737-7719
Not Available

Map and Direction




Physician's Profile

Full NameJie Song
GenderMale
SpecialityPathology
Experience30 Years
Location28100 N Ashley Cir Ste 106, Libertyville, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jie Song graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1114223351
  • Provider Enumeration Date: 02/06/2011
  • Last Update Date: 04/09/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7416135942
  • Enrollment ID: I20230421000922

Medical Identifiers

Medical identifiers for Jie Song such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114223351NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZD0900XPathology - Dermatopathology 036.124312 (Illinois)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 01069290A (Indiana)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 036.124312 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Christina G Steil Dermatology Ltd52949749377
Basko Dermatology, Llc27697333109
Skin Dermatology, Llc59911875775
Deerfield Dermatology Associates, Ltd.620484176015
Community Care Network Inc3678737012378

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. Jie Song allows following entities to bill medicare on his behalf.
Entity NameConsolidated Pathology Consultants SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003884206
PECOS PAC ID: 9133025349
Enrollment ID: O20031209000737
Entity NameNorth Shore Center for Medical Aesthetics Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508901307
PECOS PAC ID: 3072401652
Enrollment ID: O20040305000668
Entity NameGastroenterologists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891993606
PECOS PAC ID: 3274422886
Enrollment ID: O20040312000067
Entity NameNorth Shore Urogynecology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013021922
PECOS PAC ID: 9638124571
Enrollment ID: O20050314000959
Entity NameSchaumburg Dermatology SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609987171
PECOS PAC ID: 6002848496
Enrollment ID: O20050907000286
Entity NameLake Shore Dermatology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902977937
PECOS PAC ID: 8628001203
Enrollment ID: O20050914000606
Entity NameDeerfield Dermatology Associates, Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225127244
PECOS PAC ID: 6204841760
Enrollment ID: O20060221000021
Entity NameFmgc SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578691846
PECOS PAC ID: 8325142771
Enrollment ID: O20070326000042
Entity NameBakal Dermatology Associates SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730188061
PECOS PAC ID: 1254466816
Enrollment ID: O20100322000208
Entity NameChristina G Steil Dermatology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437404951
PECOS PAC ID: 5294974937
Enrollment ID: O20130610000592
Entity NameAb Dermatology LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285043646
PECOS PAC ID: 4789906322
Enrollment ID: O20141209002201
Entity NameDermatology Specialists of Illinois, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144610080
PECOS PAC ID: 7517288236
Enrollment ID: O20150608000017
Entity NameBasko Dermatology, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245716042
PECOS PAC ID: 2769733310
Enrollment ID: O20180921000343

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. Jie Song 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 AddressPractice Location Address
Jie Song, MD
28100 N Ashley Cir Ste 106,
Libertyville, IL 60048-9478

Ph: (847) 996-1030		Jie Song, MD
28100 N Ashley Cir Ste 106,
Libertyville, IL 60048-9478

Ph: (847) 737-7719

Reviews and Comments


Pathology Doctors in Libertyville, IL

Dr. Adaora Margo Okonkwo, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Milwaukee Ave, Condell Medical Center, Dept Of Pathology, Libertyville, IL 60048
Phone: 847-990-5155    Fax: 847-918-0713
Wenhua Liu,
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 28100 N Ashley Cir Ste 106, Libertyville, IL 60048
Phone: 847-996-1030    
Devon Collins Gimbel, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 28100 N Ashley Cir, Ste 106, Libertyville, IL 60048
Phone: 847-996-1030    
Dr. Patricia Ann Kampmeier, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 847-990-5154    Fax: 847-918-0713
Dr. Srinidhi Musunuri, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 847-990-5149    Fax: 847-918-0713
Carol Schiller, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 847-990-5155    Fax: 847-573-4256

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.