Dr Doug Valassis Jr, MD - Medicare Emergency Medicine in Evanston, IL

Dr Doug Valassis Jr, MD is a medicare enrolled "Emergency Medicine" physician in Evanston, Illinois. He went to University Of Michigan Medical School and graduated in 2012 and has 12 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice North Shore University Healthsystem Faculty Practice Associates, Northwestern Medical Faculty Foundation and his current practice location is 2650 Ridge Ave, Emergency Medicine, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-2114.

Dr Doug Valassis Jr is licensed to practice in Illinois (license number 036136990) 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 1245599489.

Contact Information

Dr Doug Valassis Jr, MD
2650 Ridge Ave, Emergency Medicine,
Evanston, IL 60201-1718
(847) 570-2114
(847) 570-1223



Physician's Profile

Full NameDr Doug Valassis Jr
GenderMale
SpecialityEmergency Medicine
Experience12 Years
Location2650 Ridge Ave, Evanston, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Doug Valassis Jr attended and graduated from University Of Michigan Medical School in 2012
  NPI Data:
  • NPI Number: 1245599489
  • Provider Enumeration Date: 05/08/2012
  • Last Update Date: 08/31/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3173844867
  • Enrollment ID: I20161018001398

Medical Identifiers

Medical identifiers for Dr Doug Valassis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245599489NPI-NPPES
036136990OtherILSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036136990 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northshore University Healthsystem - Evanston HospitalEvanston, ILHospital
Northwestern Lake Forest HospitalLake forest, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore University Healthsystem Faculty Practice Associates21633346991751
Northwestern Medical Faculty Foundation45875768143255

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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 Doug Valassis Jr allows following entities to bill medicare on his behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541

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Entity NameNorthshore University Healthsystem Faculty Practice Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118

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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 Doug Valassis 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 Doug Valassis Jr, MD
2650 Ridge Ave, Professional Staff Office,
Evanston, IL 60201-1718

Ph: (847) 570-2040
Dr Doug Valassis Jr, MD
2650 Ridge Ave, Emergency Medicine,
Evanston, IL 60201-1718

Ph: (847) 570-2114

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Emergency Medicine Doctors in Evanston, IL

Michael T. Gillam, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2650 Ridge Ave, Emergency Medicine Rm G909, Evanston, IL 60201
Phone: 847-570-2114    Fax: 847-570-1223
Evan G Laskaris, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave, Division Of Emergency Medicine, Evanston, IL 60201
Phone: 847-570-2114    Fax: 847-570-1223
Irene C. Yao, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-570-2114    
Dr. Anastasia Lvovna Khoubaeva, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201
Phone: 847-570-2114    Fax: 847-570-1223
Korie Lynne Zink, MD, MS
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-570-2114    Fax: 847-570-1223
Yudith Diaz Baez, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-570-2114    Fax: 847-570-1223
Isaac Kolawole Agboola, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-570-2114    Fax: 847-570-1223

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