Healing Edge Medical Group Il is a medicare enrolled "Physician Assistant - Surgical" provider in Chicago, Illinois. Their current practice location is
1200 N Ashland Ave Ste 500, Chicago, Illinois. You can reach out to their office (for appointments etc.) via phone at
(310) 779-3224.
Healing Edge Medical Group Il is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Healing Edge Medical Group Il
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1033959127.
Healthcare Provider's Profile
Full Name | Healing Edge Medical Group Il |
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Type | Facility |
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Speciality | Physician Assistant - Surgical |
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Location | 1200 N Ashland Ave Ste 500, Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033959127
- Provider Enumeration Date: 05/28/2024
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840730537
- Enrollment ID: O20240909002863
Medical Identifiers
Medical identifiers for Healing Edge Medical Group Il such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033959127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Healing Edge Medical Group Il acts as a billing entity for following providers:
Provider Name | David B Kagan |
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Provider Type | Practitioner - Internal Medicine |
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Provider Identifiers | NPI Number: 1992965768 PECOS PAC ID: 7517154792 Enrollment ID: I20240909003006 |
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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. Healing Edge Medical Group Il 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 |
Healing Edge Medical Group Il 100 E Huntington Dr Ste 203, Alhambra, CA 91801-1022 Ph: () - | Healing Edge Medical Group Il 1200 N Ashland Ave Ste 500, Chicago, IL 60622-8327 Ph: (310) 779-3224 |
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