Dr David Vallejo Jr, MD - Medicare Obstetrics & Gynecology in Blue Island, IL

Dr David Vallejo Jr, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Blue Island, Illinois. His current practice location is 13000 Maple Ave, Blue Island, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 385-6100.

Dr David Vallejo Jr is licensed to practice in Illinois (license number 125.055159) 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 1699085381.

Contact Information

Dr David Vallejo Jr, MD
13000 Maple Ave,
Blue Island, IL 60406-2318
(708) 385-6100
(708) 385-2051



Physician's Profile

Full NameDr David Vallejo Jr
GenderMale
SpecialityObstetrics & Gynecology
Location13000 Maple Ave, Blue Island, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699085381
  • Provider Enumeration Date: 10/14/2010
  • Last Update Date: 01/30/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2466699541
  • Enrollment ID: I20130508000640

Medical Identifiers

Medical identifiers for Dr David Vallejo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699085381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 125.055159 (Illinois)Primary
207VX0000XObstetrics & Gynecology - Obstetrics 036.130292 (Illinois)Secondary

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 David Vallejo Jr allows following entities to bill medicare on his behalf.
Entity NameBonaventure Medical Foundation Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588775647
PECOS PAC ID: 7517863178
Enrollment ID: O20031212000374

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Entity NameAdventist Health Partners Inc
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Enrollment ID: O20040303000601

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Enrollment ID: O20040903000194

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Enrollment ID: O20150810001673

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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. Dr David Vallejo Jr 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 David Vallejo Jr, MD
13000 Maple Ave,
Blue Island, IL 60406-2318

Ph: (708) 385-6100
Dr David Vallejo Jr, MD
13000 Maple Ave,
Blue Island, IL 60406-2318

Ph: (708) 385-6100

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The U.S. Environmental Protection Agency announced the award of a $600,000 research grant to Georgia Tech to improve the detection of known and emerging drinking water contaminants; including the harmful substances produced by blue-green algae in algal blooms and noroviruses.

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Read more News

› Verified 6 days ago


Obstetrics & Gynecology Doctors in Blue Island, IL

Miyoung Won, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2320 High St, Blue Island, IL 60406
Phone: 708-388-5500    Fax: 708-388-5672
Mahmoud Halloway, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 13000 Maple Ave, Blue Island, IL 60406
Phone: 708-385-6100    Fax: 708-385-2051
Randall Jay Gordon, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2320 High St, Blue Island, IL 60406
Phone: 708-388-5500    Fax: 708-388-5672
Alfonso Mejia-zelaya, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2320 High St, Blue Island, IL 60406
Phone: 708-388-5500    Fax: 708-388-5672
Alfonso Delgranado, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 13000 Maple Ave, Blue Island, IL 60406
Phone: 708-385-6100    Fax: 708-385-2051
Angela I Risser, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2320 High St, Blue Island, IL 60406
Phone: 708-388-5500    Fax: 708-388-5672

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