Jacob Seth Ecanow, MD - Medicare Diagnostic Radiology in Evanston, IL

Jacob Seth Ecanow, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Evanston, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1992 and has 32 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice North Shore University Healthsystem Faculty Practice Associates and his current practice location is 2650 Ridge Ave., Department Of Radiology, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-2475.

Jacob Seth Ecanow is licensed to practice in Illinois (license number 036095636) 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 1104866805.

Contact Information

Jacob Seth Ecanow, MD
2650 Ridge Ave., Department Of Radiology,
Evanston, IL 60201-1718
(847) 570-2475
(847) 570-2942



Physician's Profile

Full NameJacob Seth Ecanow
GenderMale
SpecialityDiagnostic Radiology
Experience32 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:
  • Jacob Seth Ecanow attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1992
  NPI Data:
  • NPI Number: 1104866805
  • Provider Enumeration Date: 06/08/2006
  • Last Update Date: 12/04/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5496725707
  • Enrollment ID: I20040726001203

Medical Identifiers

Medical identifiers for Jacob Seth Ecanow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104866805NPI-NPPES
036095636MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 036095636 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northshore University Healthsystem - Evanston HospitalEvanston, ILHospital
Swedish Covenant HospitalChicago, ILHospital

Group Practice Association

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

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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. Jacob Seth Ecanow allows following entities to bill medicare on his behalf.
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. Jacob Seth Ecanow 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
Jacob Seth Ecanow, MD
2650 Ridge Ave., Department Of Radiology,
Evanston, IL 60201-1718

Ph: (847) 570-2475
Jacob Seth Ecanow, MD
2650 Ridge Ave., Department Of Radiology,
Evanston, IL 60201-1718

Ph: (847) 570-2475

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Radiology Doctors in Evanston, IL

Dr. Daniel K. West, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201
Phone: 847-570-2475    Fax: 847-570-2942
Joel Bernstein, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201
Phone: 847-570-1206    Fax: 847-570-1248
Dr. Marc J Alonzo, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201
Phone: 847-570-2475    Fax: 847-570-2942
Ali Abbas Al-saraf, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-570-2477    
Anupam Basu, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201
Phone: 847-570-2000    
Dr. Joseph Michael Montalbano, MD
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201
Phone: 847-570-2475    Fax: 847-570-2942

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