Dr Bobiejo Ava Ferguson Bryan, MD - Medicare Surgery in Chicago, IL

Dr Bobiejo Ava Ferguson Bryan, MD is a medicare enrolled "Surgery" physician in Chicago, Illinois. Her current practice location is 5841 S Maryland Ave # Mc6040, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 702-1000.

Dr Bobiejo Ava Ferguson Bryan is licensed to practice in Illinois (license number 125.072453) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003300682.

Contact Information

Dr Bobiejo Ava Ferguson Bryan, MD
5841 S Maryland Ave # Mc6040,
Chicago, IL 60637-1443
(773) 702-1000
(773) 702-2140



Physician's Profile

Full NameDr Bobiejo Ava Ferguson Bryan
GenderFemale
SpecialitySurgery
Location5841 S Maryland Ave # Mc6040, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003300682
  • Provider Enumeration Date: 06/18/2018
  • Last Update Date: 06/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9830446814
  • Enrollment ID: I20180723000330

Medical Identifiers

Medical identifiers for Dr Bobiejo Ava Ferguson Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003300682NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 125.072453 (Illinois)Primary

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 Bobiejo Ava Ferguson Bryan 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 AddressPractice Location Address
Dr Bobiejo Ava Ferguson Bryan, MD
180 Harvester Dr Ste 110,
Burr Ridge, IL 60527-4503

Ph: (773) 702-1150
Dr Bobiejo Ava Ferguson Bryan, MD
5841 S Maryland Ave # Mc6040,
Chicago, IL 60637-1443

Ph: (773) 702-1000

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Surgery Doctors in Chicago, IL

Raelene D Kennedy, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1725 W Harrison St Ste 810, Chicago, IL 60612
Phone: 312-942-5500    
Douglas Wiseman, MD
Surgery
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Practice Location: 7447 W Talcott Ave Ste 427, Chicago, IL 60631
Phone: 773-990-4024    
Adam Lam, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637
Phone: 773-702-1000    Fax: 773-702-2140
Kabeer Rajan Masih, MD
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Medicare: Medicare Enrolled
Practice Location: 1620 W Harrison St, Chicago, IL 60612
Phone: 312-942-5000    
Dr. Puja Laroia, DO
Surgery
Medicare: Medicare Enrolled
Practice Location: 1620 W Harrison St, Chicago, IL 60612
Phone: 312-942-5000    
Jay Prystowsky, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611
Phone: 312-695-9797    

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