Kyle Mieszcak, - Medicare Nurse Anesthetist, Certified Registered in Berwyn, IL

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Kyle Mieszcak, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Berwyn, Illinois. His current practice location is 3249 Oak Park Ave, Berwyn, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 783-2226.

Kyle Mieszcak is licensed to practice in Illinois (license number 209027850) 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 1417624206.

Contact Information

Kyle Mieszcak,
3249 Oak Park Ave,
Berwyn, IL 60402-3429
(708) 783-2226
Not Available

Map and Direction




Provider's Profile

Full NameKyle Mieszcak
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location3249 Oak Park Ave, Berwyn, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417624206
  • Provider Enumeration Date: 08/27/2021
  • Last Update Date: 10/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365803533
  • Enrollment ID: I20230803003344

Medical Identifiers

Medical identifiers for Kyle Mieszcak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417624206NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209027850 (Illinois)Primary

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. Kyle Mieszcak allows following entities to bill medicare on his behalf.
Entity NameGottlieb Community Health Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013415603
PECOS PAC ID: 3375442999
Enrollment ID: O20180420000980
Entity NameLoyola Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376041954
PECOS PAC ID: 6305109547
Enrollment ID: O20180420002063
Entity NameEncore Anesthesia Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558987883
PECOS PAC ID: 3476979683
Enrollment ID: O20200819000850

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. Kyle Mieszcak 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
Kyle Mieszcak,
336 Mission Ave,
Villa Park, IL 60181-1903

Ph: (630) 986-7648		Kyle Mieszcak,
3249 Oak Park Ave,
Berwyn, IL 60402-3429

Ph: (708) 783-2226

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Berwyn, IL

Telma Karerakattil, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402
Phone: 708-785-3545    
Stanley Ansel Kristiansen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402
Phone: 708-783-3013    
Jessica Hubl, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402
Phone: 773-818-1132    
Tita J Jacildo, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3249 Oak Park Ave, Anesthesia Department, Berwyn, IL 60402
Phone: 708-783-3667    
Elma Divinagracia, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3249 Oak Park Ave, Anesthesia Department, Berwyn, IL 60402
Phone: 708-783-3667    
Bridget Prendergast,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402
Phone: 708-783-9100    
Yoojung Kang, MSN, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402
Phone: 708-783-2226    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.