Mark Amdur, MD in Berwyn, IL - Medicare Psychiatry & Neurology

Mark Amdur, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Berwyn, Illinois. His current practice location is 6201 Roosevelt Rd, Berwyn, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 386-0845.

Mark Amdur is licensed to practice in Illinois (license number 036044305) 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 1346277274.

Contact Information

	Mark Amdur, MD
	6201 Roosevelt Rd, Berwyn, IL 60402-1108
	(708) 386-0845
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Amdur
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	6201 Roosevelt Rd, Berwyn, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346277274
Provider Enumeration Date: 06/27/2006
Last Update Date: 12/23/2019

Medicare PECOS Information:

PECOS PAC ID: 2062490303
Enrollment ID: I20040712001475

Medical Identifiers

Medical identifiers for Mark Amdur such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346277274	NPI	-	NPPES
036044305	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	036044305 (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. Mark Amdur allows following entities to bill medicare on his behalf.

Entity Name	Pcc Community Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871516799 PECOS PAC ID: 1557270139 Enrollment ID: O20040206000415

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. Mark Amdur 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
Mark Amdur, MD 4250 N Marine Dr, Suite 236, Chicago, IL 60613-1744 Ph: (773) 404-0160	Mark Amdur, MD 6201 Roosevelt Rd, Berwyn, IL 60402-1108 Ph: (708) 386-0845

Reviews and Comments

Psychiatry & Neurology Doctors in Berwyn, IL

Dr. Walter J Wojcik, M.D,,PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3340 Oak Park Ave, Suite 200, Berwyn, IL 60402 Phone: 708-783-0222 Fax: 708-783-0223
Dr. Timothy K Mcgonagle, M.D, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3340 Oak Park Ave, Suite 200, Berwyn, IL 60402 Phone: 708-783-0222 Fax: 708-783-0223
Dr. Mary Carolyn Fahrmeier, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226
Dr. John V Lim, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1405 Harlem Ave, Berwyn, IL 60402 Phone: 708-484-8861 Fax: 866-391-1683
Elizabeth Wilma Canelas, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6238 Cermak Rd, Berwyn, IL 60402 Phone: 708-795-5020 Fax: 708-795-5023
Dr. Susan M Nadis, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3340 Oak Park Ave, Suite 200, Berwyn, IL 60402 Phone: 708-783-0222 Fax: 708-783-0223

Mark Amdur, MD - Medicare Psychiatry & Neurology in Berwyn, IL