Mr Jomon M Edakara, in Deerfield, IL - Medicare Physical Therapist Provider

Mr Jomon M Edakara, is a medicare enrolled "Physical Therapist" provider in Deerfield, Illinois. His current practice location is 1551 Lake Cook Rd, Deerfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 374-0500.

Mr Jomon M Edakara is licensed to practice in Indiana (license number 05008369A) 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 1609094630.

Contact Information

	Mr Jomon M Edakara,
	1551 Lake Cook Rd, Deerfield, IL 60015-5651
	(847) 374-0500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jomon M Edakara
Gender	Male
Speciality	Physical Therapist
Location	1551 Lake Cook Rd, Deerfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609094630
Provider Enumeration Date: 04/23/2007
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 1052857224
Enrollment ID: I20240724000845

Medical Identifiers

Medical identifiers for Mr Jomon M Edakara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609094630	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05008369A (Indiana)	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 Jomon M Edakara allows following entities to bill medicare on his behalf.

Provider Name	Council For Jewish Elderly
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1619921566 PECOS PAC ID: 8224932702 Enrollment ID: O20031125000840

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 Jomon M Edakara 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 Jomon M Edakara, 1313 Hallberg Ln, Parkridge, IL 60068 Ph: () -	Mr Jomon M Edakara, 1551 Lake Cook Rd, Deerfield, IL 60015-5651 Ph: (847) 374-0500

Reviews and Comments

Physical Therapist in Deerfield, IL

Quality Physical Therapy And Rehabilitation Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 Lake Cook Rd Ste 120, Deerfield, IL 60015 Phone: 847-858-5172
Paul Kim, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 43 N. Waukegan Rd., Deerfield, IL 60015 Phone: 847-498-1886 Fax: 847-498-5090
Emily Janusko, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1551 Lake Cook Rd, Deerfield, IL 60015 Phone: 847-374-0500
Annie R Lee, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 Waukegan Rd Ste B, Deerfield, IL 60015 Phone: 800-974-4378 Fax: 630-515-1536
Athletico Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 43 N Waukegan Rd, Deerfield, IL 60015 Phone: 847-498-1886 Fax: 847-498-5090
Dr. Sandra J Levi, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Forestway Dr, Deerfield, IL 60015 Phone: 847-940-8422
Jsa,inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 259 Burr Oak Ave, Deerfield, IL 60015 Phone: 224-623-3251

Mr Jomon M Edakara, - Medicare Physical Therapist in Deerfield, IL