Jherum Bardoquillo Espejo, PT, DPT is a medicare enrolled "Physical Therapist" provider in Charleston, Illinois. He graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Empowerme Rehabilitation Illinois Llc and his current practice location is
535 W Grant Ave Apt 4, Charleston, Illinois. You can reach out to his office (for appointments etc.) via phone at
(224) 266-7388.
Jherum Bardoquillo Espejo is licensed to practice in Illinois (license number 070026385) 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 1467189407.
Healthcare Provider's Profile
| Full Name | Jherum Bardoquillo Espejo |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 6 Years |
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| Location | 535 W Grant Ave Apt 4, Charleston, 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:
- Jherum Bardoquillo Espejo graduated from medical school in 2019
NPI Data:
- NPI Number: 1467189407
- Provider Enumeration Date: 08/01/2022
- Last Update Date: 08/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 5890178321
- Enrollment ID: I20220817000656
Medical Identifiers
Medical identifiers for Jherum Bardoquillo Espejo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467189407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 070026385 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Empowerme Rehabilitation Illinois Llc | 2365718277 | 334 |
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. Jherum Bardoquillo Espejo allows following entities to bill medicare on his behalf.
| Provider Name | Empowerme Rehabilitation Illinois Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1679098263
PECOS PAC ID: 2365718277
Enrollment ID: O20171020001353 |
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| Provider Name | Empowerme Wellness Kansas City Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1174118103
PECOS PAC ID: 9830504836
Enrollment ID: O20210317001954 |
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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. Jherum Bardoquillo Espejo 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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Jherum Bardoquillo Espejo, PT, DPT
535 W Grant Aver, Apt 4,
Charleston, IL 61920
Ph: (224) 266-7388 | Jherum Bardoquillo Espejo, PT, DPT
535 W Grant Ave Apt 4,
Charleston, IL 61920-3276
Ph: (224) 266-7388 |
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