Mr Jerry Hsu, PA-C is a medicare enrolled "Physician Assistant" in Prospect Heights, Illinois. His current practice location is
202 S Maple Ln, Prospect Heights, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 807-5909.
Mr Jerry Hsu is licensed to practice in Illinois (license number 85004767) 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 1235561101.
Provider's Profile
| Full Name | Mr Jerry Hsu |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 202 S Maple Ln, Prospect Heights, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235561101
- Provider Enumeration Date: 08/02/2013
- Last Update Date: 03/08/2017
Medicare PECOS Information:
- PECOS PAC ID: 3971734054
- Enrollment ID: I20140403000291
Medical Identifiers
Medical identifiers for Mr Jerry Hsu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235561101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 85004767 (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. Mr Jerry Hsu allows following entities to bill medicare on his behalf.
| Entity Name | Tri-county Emergency Physicians Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700810470 PECOS PAC ID: 2567412240 Enrollment ID: O20050131000438 |
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| Entity Name | Crystal Lake Immediate Care Physicians Ltd. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538517198 PECOS PAC ID: 2961783139 Enrollment ID: O20161229001875 |
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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. Mr Jerry Hsu 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 |
Mr Jerry Hsu, PA-C 202 S Maple Ln, Prospect Heights, IL 60070-2536 Ph: (773) 807-5909 | Mr Jerry Hsu, PA-C 202 S Maple Ln, Prospect Heights, IL 60070-2536 Ph: (773) 807-5909 |
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