Shawn Robertson, is a medicare enrolled "Emergency Medicine" physician in Villa Park, Illinois. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2015 and has 11 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Hospital And Medical Foundation Of Paris Inc and his current practice location is
45 N Princeton Ave, Villa Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 779-9973.
Shawn Robertson is licensed to practice in Illinois (license number 036153722) 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 1962880047.
Physician's Profile
| Full Name | Shawn Robertson |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 11 Years |
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| Location | 45 N Princeton Ave, Villa Park, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shawn Robertson attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2015
NPI Data:
- NPI Number: 1962880047
- Provider Enumeration Date: 05/11/2015
- Last Update Date: 09/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 1759679202
- Enrollment ID: I20200916000653
Medical Identifiers
Medical identifiers for Shawn Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962880047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 036153722 (Illinois) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hospital And Medical Foundation Of Paris Inc | 7315933827 | 121 |
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. Shawn Robertson allows following entities to bill medicare on his behalf.
| Entity Name | Hospital & Medical Foundation Of Paris, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629280367
PECOS PAC ID: 7315933827
Enrollment ID: O20040421001005 |
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| Entity Name | Midwest Emergency Anderson Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710647615
PECOS PAC ID: 8022401256
Enrollment ID: O20220210000357 |
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| Entity Name | Midwest Inpatient Anderson Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821758608
PECOS PAC ID: 3072908474
Enrollment ID: O20220322002045 |
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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. Shawn Robertson 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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Shawn Robertson,
45 N Princeton Ave,
Villa Park, IL 60181-2336
Ph: (630) 779-9973 | Shawn Robertson,
45 N Princeton Ave,
Villa Park, IL 60181-2336
Ph: (630) 779-9973 |
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