Sarah Beth Blank, MD in Northbrook, IL

Sarah Beth Blank, MD is a medicare enrolled "Pediatrics" physician in Northbrook, Illinois. Her current practice location is 1131 Techny Rd, Northbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 227-7600.

Sarah Beth Blank is licensed to practice in New York (license number 273625) 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 1245520568.

Contact Information

	Sarah Beth Blank, MD
	1131 Techny Rd, Northbrook, IL 60062
	(312) 227-7600
	Not Available

Map and Direction

Physician's Profile

Full Name	Sarah Beth Blank
Gender	Female
Speciality	Pediatrics
Location	1131 Techny Rd, Northbrook, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245520568
Provider Enumeration Date: 04/08/2011
Last Update Date: 09/01/2019

Medicare PECOS Information:

PECOS PAC ID: 9638489552
Enrollment ID: I20180420001306

Medical Identifiers

Medical identifiers for Sarah Beth Blank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245520568	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	273625 (New York)	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. Sarah Beth Blank allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Faculty Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157

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. Sarah Beth Blank 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
Sarah Beth Blank, MD 225 E Chicago Ave # 152, Chicago, IL 60611-2991 Ph: (312) 227-7413	Sarah Beth Blank, MD 1131 Techny Rd, Northbrook, IL 60062 Ph: (312) 227-7600

Reviews and Comments

Pediatrics Doctors in Northbrook, IL

Malka Belinda Radis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1310 Shermer Rd, Northbrook, IL 60062 Phone: 847-498-3434 Fax: 224-235-4195
Ansley Yellen Feldman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4113 Dundee Road, Northbrook, IL 60062 Phone: 847-272-1005 Fax: 847-272-1136
Dr. Eun N Syn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2521 Campden Ln, Northbrook, IL 60062 Phone: 847-272-5383
Dr. Amee Elenore Bass, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4113 Dundee Road, Northbrook, IL 60062 Phone: 842-272-1005
Dr. Andrew Peter Krivoshik, M.D., PH.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Astellas Way, Northbrook, IL 60062 Phone: 224-205-5636
Kelly M Fitzgerald, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2215 Sanders Rd Ste 105, Northbrook, IL 60062 Phone: 224-330-6303 Fax: 312-943-6924

Sarah Beth Blank, MD - Medicare Pediatrics in Northbrook, IL