Ersta Putra Ferryanto, DPM in Glenview, IL - Medicare Podiatry Provider

Ersta Putra Ferryanto, DPM is a medicare enrolled "Podiatrist" provider in Glenview, Illinois. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Performance Podiatry Partners, Llc and his current practice location is 2200 Waukegan Rd Ste Fgh, Glenview, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 558-7670.

Ersta Putra Ferryanto is licensed to practice in Illinois (license number 016006049) 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 1588243984.

Contact Information

	Ersta Putra Ferryanto, DPM
	2200 Waukegan Rd Ste Fgh, Glenview, IL 60025-1759
	(847) 558-7670
	(888) 202-3110

Map and Direction

Healthcare Provider's Profile

Full Name	Ersta Putra Ferryanto
Gender	Male
Speciality	Podiatry
Experience	5 Years
Location	2200 Waukegan Rd Ste Fgh, Glenview, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ersta Putra Ferryanto graduated from medical school in 2021

NPI Data:

NPI Number: 1588243984
Provider Enumeration Date: 04/05/2021
Last Update Date: 02/23/2026

Medicare PECOS Information:

PECOS PAC ID: 9537606199
Enrollment ID: I20240801001344

Medical Identifiers

Medical identifiers for Ersta Putra Ferryanto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588243984	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	016006049 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Performance Podiatry Partners, Llc	1951662121	3

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. Ersta Putra Ferryanto allows following entities to bill medicare on his behalf.

Provider Name	Performance Podiatry Partners, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265942080 PECOS PAC ID: 1951662121 Enrollment ID: O20180305000081

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. Ersta Putra Ferryanto 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
Ersta Putra Ferryanto, DPM 2200 Waukegan Rd Ste Fgh, Glenview, IL 60025-1759 Ph: (847) 558-7670	Ersta Putra Ferryanto, DPM 2200 Waukegan Rd Ste Fgh, Glenview, IL 60025-1759 Ph: (847) 558-7670

Reviews and Comments

Podiatrist in Glenview, IL

Amit Raj, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2180 Pfingsten Rd, Glenview, IL 60026 Phone: 847-866-7846
Dr. Tae-jun Ahn, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1640 Pleasant Ln, Glenview, IL 60025 Phone: 773-989-2500 Fax: 877-834-6714
Dr. Kathryn S Grace, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2501 Compass Rd, Suite 120, Glenview, IL 60026 Phone: 847-729-9580 Fax: 847-729-9480
Dr. Bruce Noxon, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2200 Waukegan Rd, Glenview, IL 60025 Phone: 847-588-7670 Fax: 888-202-3110
Michael Ira Weisman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2180 Pfingsten Rd Ste 3100, Glenview, IL 60026 Phone: 847-866-7846 Fax: 866-940-9890
Natural Balance Orthotics Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1864 Johns Dr, Glenview, IL 60025 Phone: 847-729-7923
Larry David Weisman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2180 Pfingsten Rd Ste 3100, Glenview, IL 60026 Phone: 847-866-7846 Fax: 866-954-5787

Ersta Putra Ferryanto, DPM - Medicare Podiatrist in Glenview, IL