Dr Jerry Matthew Poole, DPM in Northbrook, IL - Medicare Podiatrist Provider

Dr Jerry Matthew Poole, DPM is a medicare enrolled "Podiatrist" provider in Northbrook, Illinois. His current practice location is 40 Skokie Blvd Ste 520, Northbrook, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 504-5000.

Dr Jerry Matthew Poole is licensed to practice in Wisconsin (license number 886-25) 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 1710952999.

Contact Information

	Dr Jerry Matthew Poole, DPM
	40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601
	(847) 504-5000
	(847) 504-5015

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jerry Matthew Poole
Gender	Male
Speciality	Podiatrist
Location	40 Skokie Blvd Ste 520, 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: 1710952999
Provider Enumeration Date: 02/21/2006
Last Update Date: 01/22/2019

Medicare PECOS Information:

PECOS PAC ID: 0749184935
Enrollment ID: I20031120000281

Medical Identifiers

Medical identifiers for Dr Jerry Matthew Poole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710952999	NPI	-	NPPES
1710952999	Medicaid	WI
P01615149	Other	WI	RAILROAD MEDICARE
P01743256	Other	IL	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	886-25 (Wisconsin)	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. Dr Jerry Matthew Poole allows following entities to bill medicare on his behalf.

Provider Name	Preferred Podiatry Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720037138 PECOS PAC ID: 3971412677 Enrollment ID: O20040413000340

Provider Name	Illinois Institute Of Foot And Ankle, P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831497668 PECOS PAC ID: 7416125224 Enrollment ID: O20110721000853

Provider Name	Mobile Foot Doctors Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912276684 PECOS PAC ID: 8628239670 Enrollment ID: O20120418000421

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. Dr Jerry Matthew Poole 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
Dr Jerry Matthew Poole, DPM Po Box 917, Northbrook, IL 60065-0917 Ph: (847) 504-5000	Dr Jerry Matthew Poole, DPM 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 Ph: (847) 504-5000

Reviews and Comments

Podiatrist in Northbrook, IL

Zucker & Zucker Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 244 Arrowwood Dr, Northbrook, IL 60062 Phone: 847-509-1320 Fax: 847-509-1320
Dr. Mollye Deborah Karp, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 425 Huehl Rd Unit 13, Northbrook, IL 60062 Phone: 847-504-5000 Fax: 847-504-5015
Dr. Sanford Mason, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 425 Huehl Rd, #13, Northbrook, IL 60062 Phone: 847-504-5000 Fax: 847-504-5015
Dr. Francine Christina Rhinehart, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 425 Huehl Rd # 13, Northbrook, IL 60062 Phone: 847-504-5000 Fax: 847-504-5015
Affiliated Podiatrists Of Illinois Ltd. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 350 Oak Knoll Ter, Northbrook, IL 60062 Phone: 847-562-9864 Fax: 847-562-9865
Dr. Richard Lane Kusunose, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 40 Skokie Blvd Ste 520, Northbrook, IL 60062 Phone: 847-504-5000 Fax: 847-504-5015
Dr. Suzanne Roeckell Moreno, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 40 Skokie Blvd Ste 520, Northbrook, IL 60062 Phone: 847-504-5000 Fax: 847-504-5015

Dr Jerry Matthew Poole, DPM - Medicare Podiatrist in Northbrook, IL